Individual
HAILEY SMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
8116 GOOD LUCK RD, LANHAM, MD 20706-3502
(301) 599-9500
Mailing address
8116 GOOD LUCK RD, LANHAM, MD 20706-3502
(301) 599-9500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0008-049
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
09/23/2021
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