Individual
MS. AMY ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
39500 LIBERTY ST, FREMONT, CA 94538
(510) 770-8133
Mailing address
2020 HOWE DR, SAN LEANDRO, CA 94578
(510) 895-8671
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15361
CA
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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