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Individual

JENNIFER MARCHAN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
215 W JANSS RD, DEPT OF PATHOLOGY, THOUSAND OAKS, CA 91360-1847
(805) 373-8582
Mailing address
351 ROLLING OAKS DR, SUITE 103, THOUSAND OAKS, CA 91361-1275
(805) 373-8582

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
A111433
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A111433
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A111433
MEDICAL LICENSE
CA
Enumeration date
04/28/2009
Last updated
12/06/2021
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