Individual
AMANDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 MARKET ST STE 410, SAN FRANCISCO, CA 94102-5406
(415) 252-3940
Mailing address
1390 MARKET ST STE 410, SAN FRANCISCO, CA 94102-5406
(415) 252-3940
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16881
CA
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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