Individual
MS. AMANDA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7225 RAINBOW DR, SAN JOSE, CA 95129-4552
(408) 524-5750
Mailing address
2350 W. EL CAMINO REAL, 2ND FLOOR, MOUNTAIN VIEW, CA 94040-6203
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A132340
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2013
Last updated
09/08/2016
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