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Individual

MRS. MELISSA CATHERINE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
962 SEBASTAPOL ROAD, SANTA ROSA, CA 95407-6829
(707) 578-2005
Mailing address
1701 FUNSTON AVE, SAN FRANCISCO, CA 94122-4629
(530) 574-5090

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20624
CA

Other

Enumeration date
04/22/2011
Last updated
04/22/2011
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