Individual
CARLA JO SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2450 CLAY BANK RD, FAIRFIELD, CA 94533-1655
(707) 707-7844
Mailing address
530 UNION AVE, FAIRFIELD, CA 94533-6367
(707) 337-5295
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
371111
CA
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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