Individual
JACELL DIETRICH-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 MARSHALL ST, REDWOOD CITY, CA 94063-2503
(650) 373-0777
Mailing address
1410 MARSHALL ST, REDWOOD CITY, CA 94063-2503
(650) 373-0777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/15/2016
Last updated
08/30/2024
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