MR. Victor Oneil Smith, CEO/COO

NPI #1407220627 in Jackson, Mississippi

Provider Information

NPI Number: 1407220627
Entity Type: Individual
Name: MR. Victor Oneil Smith, CEO/COO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Credential: CEO/COO
Enumeration Date: Nov 26, 2015
Last Updated: Nov 26, 2015

Practice Location

Address: 121 COLONIAL GLN
City: Jackson
State: Mississippi
ZIP Code: 39211-3305
Phone: (601) 573-8651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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