Individual
PAULETTE WHITEHEAD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501
(707) 268-2990
Mailing address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
817026
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163WP0808X
—
CA
Enumeration date
10/24/2016
Last updated
07/22/2018
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