Individual
AMIIAH J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 9TH ST SE APT 823, WASHINGTON, DC 20032-4016
(202) 390-9110
Mailing address
2626 PARKLAND DR, DISTRICT HEIGHTS, MD 20747-4802
(240) 416-6313
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
S530066454199
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R60238903
—
DC
Enumeration date
05/19/2020
Last updated
05/19/2020
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