Individual
VICKI MICHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6412 BRANDON AVE # 145, SPRINGFIELD, VA 22150-2513
(240) 869-7916
Mailing address
6412 BRANDON AVE # 145, SPRINGFIELD, VA 22150-2513
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
—
VA
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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