Individual
ASHLEY MARIE-NICHOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
412 CULVER BLVD APT 8, PLAYA DEL REY, CA 90293-7765
(661) 547-3737
Mailing address
412 CULVER BLVD APT 8, PLAYA DEL REY, CA 90293-7765
(661) 547-3737
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95181147
CA
Other
Enumeration date
12/15/2018
Last updated
12/15/2018
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