Individual
MRS. SARA NICHOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
3576 CALDWELL PL, FREDERICK, MD 21704-7869
(301) 418-3935
Mailing address
3576 CALDWELL PL, FREDERICK, MD 21704-7869
(301) 418-3935
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
4003
MD
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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