Individual
DOROTHY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3531 GOLD COAST CT, STOCKTON, CA 95206-5143
(209) 565-9929
Mailing address
3531 GOLD COAST CT, STOCKTON, CA 95206-5143
(209) 565-9929
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95000843
CA
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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