Individual
LASHANDA MONIQUE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 CLAY ST STE 150, OAKLAND, CA 94607-3510
(510) 428-3885
Mailing address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3000
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-NZXYLJ
CA
Other
Enumeration date
11/08/2018
Last updated
04/09/2024
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