LATIFAH EBONY SMITH

FREDERICKSBURG, VA
NPI1952806770
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy247200000X Technician, Other
Enumeration Date2018-03-25
Last Update Date2018-03-25
Business Address
LATIFAH EBONY SMITH
5216 LEAVELLS CROSSING DR
FREDERICKSBURG, VA 22407-7706
Phone number: 843-364-2895
Mailing Address
LATIFAH EBONY SMITH
5216 LEAVELLS CROSSING DR
FREDERICKSBURG, VA 22407-7706
Phone number: 843-364-2895