Individual
KRISTIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
11370 ANDERSON ST, SUITE 2600, LOMA LINDA, CA 92354-3450
(909) 558-2062
(909) 558-2890
Mailing address
11370 ANDERSON ST, SUITE 2600, LOMA LINDA, CA 92354-3450
(909) 558-2890
(909) 558-2891
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 18318
CA
Other
Enumeration date
03/07/2007
Last updated
07/31/2014
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