Individual
MRS. EDITH CAROLINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
101 THE CITY DR S, BLDG. 56, RT. 81, # 246B, ORANGE, CA 92868-3201
(714) 456-5819
(714) 456-3967
Mailing address
101 THE CITY DR S, BLDG. 56, RT. 81, ST. 246B, ORANGE, CA 92868-3201
(714) 456-5819
(714) 456-3967
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
423991
CA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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