Individual
JACOB SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-4018
(661) 326-2200
Mailing address
21405 QUAIL SPRINGS RD, TEHACHAPI, CA 93561-6810
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001709
CA
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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