Individual
MRS. JESSICA ANNMARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRAT
Contact information
Practice address
6612 ANTHONY AVE, GARDEN GROVE, CA 92845-2208
(310) 514-6219
Mailing address
6612 ANTHONY AVE, GARDEN GROVE, CA 92845-2208
(310) 514-6219
Taxonomy
Speciality
Code
Description
License number
State
246W00000X
Cardiology Technician
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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