Individual
THEASHA S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 TWINRIDGE LN, NORTH CHESTERFIELD, VA 23235-5270
(804) 564-5527
Mailing address
705 TWINRIDGE LN, NORTH CHESTERFIELD, VA 23235-5270
(804) 564-5527
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
3960
VA
Other
Enumeration date
07/17/2023
Last updated
07/27/2023
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