Individual
DORINDA A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS IMMUNOTOXICOLOGY
Contact information
Practice address
27052 DEER CANYON DR, RAMONA, CA 92065-6708
(760) 315-1021
(760) 377-8697
Mailing address
27052 DEER CANYON DR, RAMONA, CA 92065-6708
(760) 760-1890
(760) 377-8697
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
NO INSURANCE OR OTHER IDENTIFIERS
CA
Enumeration date
10/07/2022
Last updated
10/07/2022
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