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Individual

DR. TRISHA LENORE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
10474 SANTA MONICA BLVD, SUITE 304, LOS ANGELES, CA 90025-6929
(310) 470-2909
Mailing address
1310 N OLIVE DR, APT 14, WEST HOLLYWOOD, CA 90069-2557
(619) 838-0588

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
32073
CA
111NR0400X
Rehabilitation Chiropractor
Primary
32073
CA
111NS0005X
Sports Physician Chiropractor
32073
CA

Other

Enumeration date
11/18/2011
Last updated
11/18/2011
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