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Individual

DONNA JEANNE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, PHN

Contact information

Practice address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
(714) 896-7806
(714) 896-7808
Mailing address
PO BOX 355, SANTA ANA, CA 92702-0355
(714) 896-7806
(714) 896-7808

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
424689
CA

Other

Enumeration date
12/03/2007
Last updated
12/03/2007
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