Individual
AUBRIE JILLIAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17822 BEACH BLVD, SUITE 325, HUNTINGTON BEACH, CA 92647-7101
(714) 843-6550
Mailing address
1513 ALABAMA ST, UNIT A, HUNTINGTON BEACH, CA 92648-3585
(949) 293-3503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18301
CA
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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