Individual
MRS. TAWNI K SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1442 IRVINE BLVD STE 136, TUSTIN, CA 92780-3870
(949) 751-8548
(657) 247-4806
Mailing address
1442 IRVINE BLVD STE 136, TUSTIN, CA 92780-3870
(949) 751-8548
(657) 247-4806
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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