Individual
MS. CARRIE ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
412 E MAIN ST, SUITE # E, GRASS VALLEY, CA 95945-6533
(530) 273-8471
Mailing address
PO BOX 691, GRASS VALLEY, CA 95945
(530) 273-8471
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 10164
CA
Other
Enumeration date
04/24/2007
Last updated
01/13/2012
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