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Individual

KAREN L. GLANCE-SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
8635 FIRESTONE BLVD, STE # 100, DOWNEY, CA 90241-5242
(562) 862-5121
(562) 862-3027
Mailing address
3050 E AIRPORT WAY, LONG BEACH, CA 90806-2404
(562) 426-9661
(562) 426-4227

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2582
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN5614700
MEDI-CAL
CA
Enumeration date
09/27/2006
Last updated
07/18/2016
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