Individual
LINDA BONITA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4603 CHARLTON CT, WOODBRIDGE, VA 22193-3026
(904) 699-5642
Mailing address
4603 CHARLTON CT, WOODBRIDGE, VA 22193-3026
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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