Individual
HAYLEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2100 CAPITOL AVE, SACRAMENTO, CA 95816-5721
(916) 442-4985
Mailing address
2100 CAPITOL AVE, SACRAMENTO, CA 95816-5721
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
266131
CA
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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