Individual
ERIC NICHOLAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5806
(877) 608-0044
Mailing address
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA22999
CA
Other
Enumeration date
04/14/2013
Last updated
12/01/2021
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