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Individual

BREA TRINITY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
700 E GILBERT ST, SAN BERNARDINO, CA 92415-1003
(909) 382-3535
(909) 383-3830
Mailing address
11234 ANDERSON ST, ROOM 6700 H, LOMA LINDA, CA 92354-2804
(909) 558-8514
(909) 558-7873

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
761340
CA

Other

Enumeration date
03/11/2016
Last updated
03/11/2016
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