Individual
STEPHANIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 RIVERSIDE DR, FREDERICKSBURG, VA 22401
(540) 907-1507
Mailing address
440 RIVERSIDE DR, FREDERICKSBURG, VA 22401
(540) 907-1507
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
0136000711
VA
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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