Individual
BRIANNA JAZMINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1501 TROUSDALE DR, BURLINGAME, CA 94010-4506
(650) 652-8787
Mailing address
PO BOX 276950, SACRAMENTO, CA 95827-6950
(650) 652-8787
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA.0006885
CO
363AS0400X
Surgical Physician Assistant
Primary
PA64140
CA
Other
Enumeration date
04/18/2021
Last updated
12/09/2024
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