Individual
KEIANA SHARICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 E. COLORADO BLVD. SUITE 560 PASADENA, CA, PASADENA, CA 91106-9110
(818) 241-6780
(818) 241-6853
Mailing address
1055 E. COLORADO BLVD. SUITE 560 PASADENA, CA, PASADENA, CA 91106
(818) 241-6780
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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