Individual
MONICA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 BRANDON RD, RICHMOND, VA 23224-1214
(804) 420-5377
Mailing address
1814 GORDON AVE, RICHMOND, VA 23224-6834
(804) 420-5377
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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