Individual
GINNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(797) 268-2990
Mailing address
1709 ANDERSON AVE, MCKINLEYVILLE, CA 95519-3812
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 254610
CA
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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