Individual
DR. BRENDA CAROL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 FAIR OAKS AVE # C, SOUTH PASADENA, CA 91030-4776
(626) 799-4437
Mailing address
1800 FAIR OAKS AVE # C, SOUTH PASADENA, CA 91030-4776
(626) 799-4437
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G047927
CA
Other
Enumeration date
03/06/2008
Last updated
06/13/2008
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