Individual
MRS. EDWINA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12625 HESPERIA RD, VICTORVILLE, CA 92395-7720
(176) 099-5830
(760) 955-2356
Mailing address
12258 BALI ST, VICTORVILLE, CA 92392-6836
(760) 995-8300
(760) 955-2356
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
464831
CA
Other
Enumeration date
07/17/2015
Last updated
07/27/2015
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