Individual
GENNA NACHE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 W LINNE RD STE J-9, TRACY, CA 95377-8024
(209) 340-9374
Mailing address
1660 W LINNE RD STE J-9, TRACY, CA 95377-8024
(209) 340-9374
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
8850
CA
Other
Enumeration date
12/09/2019
Last updated
08/05/2024
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