Individual
MS. CAROL DEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1436 SIERRA DR, PETALUMA, CA 94954-3718
(707) 774-1062
Mailing address
1436 SIERRA DR, PETALUMA, CA 94954-3718
(707) 774-1062
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/24/2009
Last updated
12/24/2009
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