Individual
DESIRAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12405 DUCK RIVER RD, MIDLOTHIAN, VA 23112-3815
(804) 986-5002
Mailing address
12405 DUCK RIVER RD, MIDLOTHIAN, VA 23112-3815
(804) 986-5002
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
VA
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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