Individual
ANNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 KNOLLCREST DR STE 101, REDDING, CA 96002-0181
(053) 039-2439
Mailing address
415 KNOLLCREST DR STE 101, REDDING, CA 96002-0181
(053) 039-2439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA65924
CA
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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