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Organization
KELLY SMITH
Active
Organization
KELLY SMITH
Active
Other names
optimal home care & staffing
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SMITH L.V.N. (NURSE)
(951) 837-4703
Entity
Organization
Contact information
Practice address
30724 BENTON RD, C-302 #551, WINCHESTER, CA 92596-8470
(951) 837-4703
(951) 837-4702
Mailing address
29970 TECHNOLOGY DR, #208, MURRIETA, CA 92563-2645
(951) 837-4703
(951) 837-4702
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
187389
CA
Other
Enumeration date
10/20/2007
Last updated
04/04/2012
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