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Elissa Smith
Student in an Organized Health Care Education/Training Program in Fairfax, Virginia
NPI 1578216651

Elissa Smith is a Student in an Organized Health Care Education/Training Program based in Fairfax, VA. Elissa Smith practices in Fairfax, VA. The NPI Number for Elissa Smith is 1578216651 and holds a License No. (Virginia).

The current practice location address for Elissa Smith is 4241 Summit Corner Dr Apt 138, Fairfax, VA and can be reached out via phone at 703-338-2762.

Location: 4241 Summit Corner Dr Apt 138, Fairfax, VA, 22030-8419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578216651
Provider Name
Elissa Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
4241 Summit Corner Dr Apt 138, Fairfax, VA, 22030-8419
Phone Number
703-338-2762
Fax Number
Provider Enumeration Date
01/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4241 Summit Corner Dr Apt 138
City
Fairfax
State
Virginia
Zip
22030-8419
Phone Number
703-338-2762
Fax Number
person
Provider Business Mailing Address Details
Address
4241 Summit Corner Dr Apt 138
City
Fairfax
State
Virginia
Zip
22030-8419
Phone Number
703-338-2762
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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