Smith, Vida Tyrese

Smith, Vida Tyrese is an individual health care provider with primary practice located at 20 Rosewood Ln , Newport News VA 23602-5414. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Smith, Vida Tyrese can be contacted via phone (180) 439-3241.

Contact Information

Primary practice address
20 Rosewood Ln Newport News VA 23602-5414
Phone: (180) 439-3241
Fax: (804) 800-4066
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X Virginia
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1982326401
LBN Legal business name Smith, Vida Tyrese
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2022
Last updated Sep 12th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers