Individual
SHARON ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
299 12TH ST STE C, MARINA, CA 93933-6003
(831) 883-3030
Mailing address
299 12TH ST STE C, MARINA, CA 93933-6003
(831) 883-3030
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
CA
Other
Enumeration date
10/17/2022
Last updated
07/08/2026
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