Individual
CHANEL EVELYN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
711 S NEW HAMSHIRE AVE., LOS ANGELES, CA 90005
(213) 385-5100
Mailing address
711 S. NEW HAMSHIRE AVE, LOS ANGELES, CA 90005
(213) 385-5100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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