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Individual

ANGELA Y SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11339 WINDSOR BLVD, WINDSOR, VA 23487-5657
(757) 334-0054
Mailing address
11339 WINDSOR BLVD, WINDSOR, VA 23487-5657
(757) 242-0044
(757) 224-0055

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
385H00000X
Respite Care
VA

Other

Enumeration date
03/05/2014
Last updated
03/06/2014
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