Individual
CLARISSA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 385-8410
Mailing address
PO BOX 7368, MORENO VALLEY, CA 92552-7368
(951) 385-8410
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95019074
CA
Other
Enumeration date
12/22/2021
Last updated
10/27/2023
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