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1053024026
MARIAM SOPHIA BOUANANE-SMITH
VIRGINIA BEACH, VA
NPI
1053024026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024187257)
Enumeration Date
2023-01-04
Last Update Date
2024-11-04
Business Address
MARIAM SOPHIA BOUANANE-SMITH PMHNP-BC
5511 PRINCESS ANNE RD STE 200
VIRGINIA BEACH, VA 23462-3321
Phone number: 757-704-4747
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Mailing Address
MARIAM SOPHIA BOUANANE-SMITH PMHNP-BC
3500 VIRGINIA BEACH BLVD STE 202
VIRGINIA BEACH, VA 23452-4445
Phone number: 252-621-2109
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