JAQUALLA SMITH

CHARLESTON, WV
NPI1902519978
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WV  2910)
Enumeration Date2023-01-04
Last Update Date2024-07-22
Business Address
JAQUALLA SMITH
4407 MACCORKLE AVE SE STE 2
CHARLESTON, WV 25304-2541
Phone number: 304-925-0392
Mailing Address
JAQUALLA SMITH
632 HAL GREER BLVD APT 3
HUNTINGTON, WV 25701-2975
Phone number: 304-222-4593
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