Individual
KRISTEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1901 CARNEGIE AVE, SUITE 1-C, SANTA ANA, CA 92705-5504
(714) 848-8319
(714) 596-6274
Mailing address
1901 CARNEGIE AVE, SUITE 1-C, SANTA ANA, CA 92705-5504
(714) 848-8319
(714) 596-6274
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
RBT-16-15952
CA
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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