Individual
JEFFREY MARTIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
477 CLIFTON AVE, SAN CARLOS, CA 94070-1763
(650) 307-2703
Mailing address
477 CLIFTON AVE, SAN CARLOS, CA 94070-1763
(650) 307-2703
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
569124
CA
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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