ANTOINE LAMONT SMITH

CHESAPEAKE, VA
NPI1104259522
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2013-08-21
Last Update Date2013-08-21
Business Address
-- ANTOINE LAMONT SMITH HS
1260 SHOTGUN RD
CHESAPEAKE, VA 23322-4512
Phone number: 757-421-1875
Mailing Address
-- ANTOINE LAMONT SMITH HS
1260 SHOTGUN RD
CHESAPEAKE, VA 23322-4512
Phone number: