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Organization

PROCARE HEALTH SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DIANNE VERNALENE SMITH M.S. (ADMINISTRATOR)
(818) 773-9080
Entity
Organization

Contact information

Practice address
15034 PROVIDENCE LN, NORTH HILLS, CA 91343-3477
(818) 773-9080
(818) 895-8625
Mailing address
15034 PROVIDENCE LN, NORTH HILLS, CA 91343-3477
(818) 773-9080
(818) 895-8625

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1422
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GAU000840
CA
Enumeration date
02/02/2007
Last updated
08/22/2020
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