Individual
MADALYN MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 WILSHIRE BLVD STE 703, LOS ANGELES, CA 90017-4807
(213) 977-0419
(213) 977-0225
Mailing address
1245 WILSHIRE BLVD STE 703, LOS ANGELES, CA 90017-4807
(213) 977-0419
(213) 977-0225
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95021723
CA
Other
Enumeration date
07/18/2022
Last updated
09/07/2022
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