Individual
PATRICIA LINDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
7772 THREE VINES PL, RANCHO CUCAMONGA, CA 91739-8755
(901) 246-0059
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
95014218
CA
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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