Individual
MS. JUDITH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3737 MARTIN LUTHER KING JR BLVD, SUITE 106, LYNWOOD, CA 90262-3513
(310) 637-0318
(310) 637-6722
Mailing address
3737 MARTIN LUTHER KING JR BLVD, SUITE 106, LYNWOOD, CA 90262-3513
(310) 637-0318
(310) 637-6722
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15324
CA
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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