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Individual

JOSEPH SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4995 MURPHY CANYON RD, ST 204, SAN DIEGO, CA 92123
(858) 603-6981
Mailing address
4995 MURPHY CANYON RD, ST 204, SAN DIEGO, CA 92123

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95063625
CA

Other

Enumeration date
04/28/2017
Last updated
04/28/2017
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