Individual
ANGELICA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7592 METROPOLITAN DR STE 404, SAN DIEGO, CA 92108-4428
(619) 376-6653
Mailing address
5819 LEADROPE WAY, BONITA, CA 91902-3035
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
12/26/2024
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