Individual
SUE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 W ARBOR DR., #8501, SAN DIEGO, CA 92103-8501
(619) 471-9123
Mailing address
200 W ARBOR DR, #8501, SAN DIEGO, CA 92103
(619) 471-9123
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
770081
CA
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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