(800) 868-1923

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: