Individual
ANTONIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
26501 AVENUE 140, PORTERVILLE, CA 93257-9109
(559) 782-2222
Mailing address
26501 AVENUE 140, PORTERVILLE, CA 93257-9109
(559) 782-2222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN231485
CA
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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