Individual
DAKURA TASHAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 682-3196
Mailing address
1801 VICENTE STREET, SAN FRANCISCO, CA 94116
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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