# MRS. PEGGY ROSE SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1760078018
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 9023-53 | CA | — |
| 374J00000X | Doula | 6399-46 | CA | Yes |

## Other

- **Enumeration date:** 12/20/2020
- **Last updated:** 12/20/2020
