Individual
MRS. TAMIKA SHANAE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2220 GIRARD ST, SAN JACINTO, CA 92583-5301
(951) 683-6596
Mailing address
5870 ARLINGTON AVE, RIVERSIDE, CA 92504-2037
(951) 683-6596
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
CA
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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