Individual
MS. DIANE RUTH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.
Contact information
Practice address
22 GATEVIEW DR, FALLBROOK, CA 92028-9232
(619) 990-6505
Mailing address
22 GATEVIEW DR, FALLBROOK, CA 92028-9232
(619) 990-6505
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
L.M. #0033
CA
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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