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Individual
MS. MARY COLLEEN SMITH
Active
Individual
MS. MARY COLLEEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
3524111
CA
163WS0200X
School Registered Nurse
3524111
CA
363LF0000X
Family Nurse Practitioner
3524111
CA
Other
Enumeration date
05/23/2007
Last updated
09/11/2025
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