Individual
QUINTISHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8651 FESTIVAL ST, CHINO, CA 91708-8882
(866) 731-5096
Mailing address
8651 FESTIVAL ST, CHINO, CA 91708-8882
(866) 731-5096
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
844645
CA
Other
Enumeration date
01/15/2024
Last updated
11/24/2025
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