Individual
MS-CHALAE' SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
473 E. CARNEGIE DR., SUITE 200, SAN BERNARDINO, CA 62408
(909) 644-7023
Mailing address
1217 W CHESHIRE ST, RIALTO, CA 92377-4428
(909) 644-7023
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT-00043776
CA
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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