Individual
TAHIRA AYANNA SMITH-AIFESEHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 226-2622
Mailing address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 226-2622
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
630456
CA
Other
Enumeration date
10/03/2013
Last updated
04/25/2018
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