Individual
PAMELA JEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
2400 BATH ST, SANTA BARBARA, CA 93105-4351
(805) 569-7380
Mailing address
2548 PAULINE CT, MERCED, CA 95348-3606
(209) 722-4151
(209) 722-4151
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CPT11261
CA
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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