Individual
GWONDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
732 EDEN WAY N SUITE H, CHESAPEAKE, VA 23320
(757) 716-1273
Mailing address
732 EDEN WAY N SUITE H, 1202 WELLES CT, CHESAPEAKE, VA 23320
(757) 716-1273
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
103514
VA
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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