Individual
AUDREY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 E PALMDALE BLVD, SUITE G, PALMDALE, CA 93550-4881
(661) 947-1595
(661) 575-1682
Mailing address
43850 20TH EAST APT. #124, LANCASTER, CA 93535
(661) 947-1595
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
07/07/2020
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