Individual
BRENDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
918 W FOOTHILL BLVD, UPLAND, CA 91786-3772
(909) 890-5511
Mailing address
801 E KATELLA AVE, ANAHEIM, CA 92805-6614
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209011357 041325955
IL
Other
Enumeration date
04/01/2014
Last updated
11/15/2023
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