Individual
DONITA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12603 THRUSH PL, UPPER MARLBORO, MD 20772-5281
(301) 836-2264
Mailing address
12603 THRUSH PL, UPPER MARLBORO, MD 20772-5281
(301) 836-2264
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
403022
MD
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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