Individual
ANASTASIYA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2728 DURANT AVE, BERKELEY, CA 94704-1725
(510) 841-9230
Mailing address
2728 DURANT AVE, BERKELEY, CA 94704-1725
(510) 841-9230
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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