Individual
MS. THERESA ADELE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3300 E SOUTH ST, SUITE #: 102, LAKEWOOD, CA 90805-4549
(562) 232-1144
(562) 630-3052
Mailing address
3300 E SOUTH ST, SUITE #: 102, LAKEWOOD, CA 90805-4549
(562) 232-1144
(562) 630-3052
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP#10742
CA
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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