Antoine Lamont Smith SR., HS

NPI #1104259522 in Chesapeake, Virginia

Provider Information

NPI Number: 1104259522
Entity Type: Individual
Name: Antoine Lamont Smith SR., HS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: HS
Enumeration Date: Aug 21, 2013
Last Updated: Aug 21, 2013

Practice Location

Address: 1260 SHOTGUN RD
City: Chesapeake
State: Virginia
ZIP Code: 23322-4512
Phone: (757) 421-1875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians	1710I1003X	Primary

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