Individual
MRS. HARRIET C. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 MERCED ST., SAN LEANDRO, CA 94577
(510) 454-7511
Mailing address
2500 MERCED ST., SAN LEANDRO, CA 94577
(510) 454-7511
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G72144
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G721440
—
CA
Enumeration date
11/16/2006
Last updated
08/07/2015
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