Individual
VIRGINIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 CROSS ST, SOMERVILLE, MA 02145-3246
(617) 575-5520
Mailing address
42 CROSS ST, SOMERVILLE, MA 02145-3246
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
177340
MA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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