Individual
HEATHER RENEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM LM
Contact information
Practice address
1950 ELECTRIC RD, ROANOKE, VA 24018-1621
(312) 533-6823
(540) 301-1768
Mailing address
1950 ELECTRIC RD, ROANOKE, VA 24018-1621
(312) 533-6823
(540) 301-1768
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0129000185
VA
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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