Individual
JEFFREY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9200 BASIL CT STE 100, UPPER MARLBORO, MD 20774-5309
(301) 648-2861
Mailing address
9200 BASIL CT STE 100, UPPER MARLBORO, MD 20774-5309
(301) 648-2861
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R4247
MD
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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