Individual
ABRA GABRIELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 FREDERICK ST STE 103, SANTA CRUZ, CA 95062-2239
(831) 295-8307
Mailing address
556 14TH AVE, SANTA CRUZ, CA 95062-4058
(831) 295-8307
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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