Individual
ALYCIA RENEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
630 CENTER ST UNIT B, COSTA MESA, CA 92627-2709
(707) 541-8731
(949) 209-1995
Mailing address
630 CENTER ST UNIT B, COSTA MESA, CA 92627-2709
(949) 209-1995
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN95368561
CA
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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