Individual
GEANNINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1430 WILLOW PASS RD STE 100, CONCORD, CA 94520-7946
(925) 288-3906
Mailing address
1430 WILLOW PASS RD STE 100, CONCORD, CA 94520-7946
(925) 288-3906
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95045222
CA
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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