Most Relevant Information
Provider Data
| NPI Number: | 1003561861 |
| Provider Name: | STAR SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/19/2022 |
| Last Updated: | 02/19/2022 |
Provider Practice Location
4510 3RD ST SE APT A
WASHINGTON
DC
200323123
Practice Location Phone/Fax
| Phone: | 2028941797 |
| Fax: |
Provider Mailing Location
4222 4TH ST SE APT 101
WASHINGTON
DC
200323300
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |