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Individual

RAYCHELLE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
308 E SAN JACINTO AVE, PERRIS, CA 92570-2878
(951) 210-1345
Mailing address
308 E SAN JACINTO AVE, PERRIS, CA 92570-2878

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
758577
CA

Other

Enumeration date
02/03/2010
Last updated
02/03/2010
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