Individual
MARY PATRICIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 29TH ST STE 570A, SACRAMENTO, CA 95816-5126
(916) 733-3792
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A180397
CA
Other
Enumeration date
04/01/2020
Last updated
10/30/2024
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