Individual
MRS. ANITA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1266 14TH ST, OAKLAND, CA 94607-2205
(510) 867-0898
Mailing address
1910 CHANSLOR AVE, RICHMOND, CA 94801-3648
(510) 938-0621
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
01/22/2007
Last updated
06/05/2017
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