Individual
CARRON ANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
521 E ELDER ST, SUITE 101, FALLBROOK, CA 92028-3081
(760) 723-6501
(760) 723-6521
Mailing address
27699 JEFFERSON AVE, SUITE 300, TEMECULA, CA 92590-2661
(951) 252-8588
(951) 252-8589
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7866
CA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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