Individual
CHARLES WILLIAM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
304 BECKY PEASE, KETTLEMAN CITY, CA 93239
(559) 386-4501
(559) 717-4686
Mailing address
PO BOX 700, AVENAL, CA 93204-0700
(559) 386-4500
(559) 386-0999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5247
CA
Other
Enumeration date
02/02/2007
Last updated
11/02/2023
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