Individual
SHATOINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
824 MINOR ST, APT209, SAN JACINTO, CA 92583-4767
(951) 323-0892
Mailing address
824 MINOR ST, APT209, SAN JACINTO, CA 92583-4767
(951) 323-0892
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
CA
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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