Individual
MS. TASHAMMA LAKISHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3322 NEW BERN RIDGE DR APT 206, RALEIGH, NC 27610-1294
(919) 648-3399
Mailing address
3322 NEW BERN RIDGE DR APT 206, RALEIGH, NC 27610-1294
(919) 648-3399
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
RDL-3007
NC
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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