Individual
CHARICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3311 KIFER RD # 125, SANTA CLARA, CA 95051-0708
(510) 290-4009
Mailing address
3311 KIFER RD # 125, SANTA CLARA, CA 95051-0708
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
07/22/2024
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