Healthcare Provider Details

I. General information

NPI: 1710828991
Provider Name (Legal Business Name): CYNEITA SMALLS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2711 EDISON HWY
BALTIMORE MD
21213-1623
US

IV. Provider business mailing address

2711 EDISON HWY
BALTIMORE MD
21213-1623
US

V. Phone/Fax

Practice location:
  • Phone: 443-400-6909
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: