Individual
RODRICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 MEADOW LAKE DR, NORFOLK, VA 23518-5204
(757) 816-7034
Mailing address
8036 CRESCENT RD, NORFOLK, VA 23505-1504
(757) 816-7034
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1201087967
VA
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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