Individual
TAWANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, STE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
9 TENTMILL LN, APT. J, PIKESVILLE, MD 21208-2570
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R150093
MD
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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