Individual
ALYSHIA ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MA
Contact information
Practice address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(310) 829-8921
(310) 829-8455
Mailing address
PO BOX 568, CORNELIUS, OR 97113-0568
(503) 352-8657
(503) 352-8657
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/08/2016
Last updated
07/21/2022
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