Individual
TERRELL BERNARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
25 ALLEN ST, MARTINEZ, CA 94553
(925) 995-3957
Mailing address
5982 RHODES RD, KENT, OH 44240-8100
(330) 673-1347
(330) 678-3677
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
1144714304
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN.488666
OH
Other
Enumeration date
06/20/2018
Last updated
05/15/2024
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