SearchMaryland374J00000X

Octavia Smith

NPI 1124728423 · on the registry since 2023 · sole proprietor

Practice

Address
2004 Amber Leaf Pl Apt T6
Waldorf, MD 20602
Phone
(202) 642-4017

Registry record

Primary taxonomy
374J00000X
374J00000X
Also registered as
173C00000X
Sex
Female
Record last updated
2023-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland