Individual
TYJA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5623 GREGORY CT, PORTSMOUTH, VA 23703-1656
(804) 888-0084
Mailing address
5623 GREGORY CT, PORTSMOUTH, VA 23703-1656
(804) 888-0084
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
VA
374J00000X
Doula
Primary
3801
VA
Other
Enumeration date
02/28/2023
Last updated
12/12/2023
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