Individual
JUDITH GAIL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
(707) 651-2667
Mailing address
922 BRADFORD WAY, BENICIA, CA 94510-3615
(707) 745-2577
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
229827
CA
363L00000X
Nurse Practitioner
Primary
NP4015
CA
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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