Individual
MRS. DALLAS SMITH-GASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIALIST
Contact information
Practice address
8765 BRANCH AVE STE 23, CLINTON, MD 20735-2630
(571) 268-2164
Mailing address
8765 BRANCH AVE STE 23, CLINTON, MD 20735-2630
(571) 268-2164
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1201122443
VA
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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