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Individual

MS. KIMBERLY TERSILLA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
10200 TRINITY PKWY STE 201, STOCKTON, CA 95219-7288
(209) 952-0483
(209) 478-5785
Mailing address
1111 EXPOSITION BLVD BLDG 700, SACRAMENTO, CA 95815-4314
(916) 736-3399
(916) 233-4171

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU3301
CA

Other

Enumeration date
05/29/2018
Last updated
05/14/2020
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