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Individual
MRS. NETOSHU DENNIS SMITH
Active
Individual
MRS. NETOSHU DENNIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1316664279
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
10/21/2022
Last updated
07/24/2024
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