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Jaqualla Smith
NPI 1902519978 · on the registry since 2023
Practice
- Address
- 4407 Maccorkle Ave Se Ste 2
Charleston, WV 25304 - Phone
- (304) 925-0392
- Organisation at this address
- Valley Health Systems, Inc
Applachain Pain Therapy Institute
Hanger Prosthetics & Orthotics, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-22
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 West Virginia