Individual
ANISSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 E SHAW AVE STE 149, FRESNO, CA 93710-7903
(209) 291-9207
Mailing address
3925 COLMA AVE, MERCED, CA 95348-8720
(209) 291-9207
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/06/2025
Last updated
12/06/2025
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