Individual
AUDREY MARILYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 WELCH RD UPPR, PALO ALTO, CA 94304-1601
(650) 497-8979
Mailing address
120 WILLIAM AVE, LARKSPUR, CA 94939-2028
(415) 847-2854
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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