Individual
JEREMY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1365 NORTH ST, MONTPELIER, VT 05602-9418
(802) 917-2723
Mailing address
1365 NORTH ST, MONTPELIER, VT 05602-9418
(802) 917-2723
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
026.0029617
VT
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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