Individual
TAKIYAH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3804 SHELBURNE RD, SHELBURNE, VT 05482-6690
(802) 985-8250
(802) 985-3401
Mailing address
15 CASCADE WAY, APT. 410, WINOOSKI, VT 05404-4402
(704) 577-9227
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
099.0107409
VT
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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