Individual
GIA SAMANTHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2290 MCCAFFREY LN, RIVERBANK, CA 95367-2643
(209) 614-7455
Mailing address
2290 MCCAFFREY LN, RIVERBANK, CA 95367-2643
(209) 614-7455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
834852
CA
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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