Individual
AMBROSIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-4800
(510) 535-7313
Mailing address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 437-4800
(510) 535-7313
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
03/27/2024
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