Individual
MRS. CAROL SUE SMITHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN,CDAAC,RAS
Contact information
Practice address
2101 E 1ST ST, SANTA ANA, CA 92705-4007
(714) 542-3581
(714) 542-2246
Mailing address
2118 W MIDWOOD LN, ANAHEIM, CA 92804-6422
(714) 991-8614
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN166502
CA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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