NPI 1407220627

Victor Oneil Smith, CEOCOO

Practitioner Adult Companion Jackson, MS

Practice location

Address: 121 Colonial Gln, Jackson, MS 39211-3305
Phone: (601) 573-8651

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X Licence 421763537 (MS)

Other Adult Companion providers in Mississippi →

Registry record

NPI: 1407220627
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Nov 2015
Record last updated: 26 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.