Individual
MRS. CAMBRIA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
145 GLASSON WAY, GRASS VALLEY, CA 95945-5723
(530) 470-2425
(530) 265-7273
Mailing address
13924 AUBURN RD, GRASS VALLEY, CA 95949-8760
(530) 277-2704
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
1122
VI
164W00000X
Licensed Practical Nurse
23-43956-031
KS
164X00000X
Licensed Vocational Nurse
Primary
691026
CA
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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