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Individual

LISA M SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
920 WESTACRE RD, WEST SACRAMENTO, CA 95691-3224
(916) 375-7740
Mailing address
3416 AMERICAN RIVER DR STE B, SACRAMENTO, CA 95864-5753
(916) 979-0497

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3463
CA

Other

Enumeration date
08/28/2020
Last updated
08/28/2020
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