Individual
MIRANDA TOOMY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
122 LAND GRANT RD, YORKTOWN, VA 23692-4510
(804) 551-1038
Mailing address
122 LAND GRANT RD, YORKTOWN, VA 23692-4510
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
10/07/2024
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