Individual
KYRA BRIANNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 HAMPTON DR, VENICE, CA 90291-8633
(310) 396-6468
Mailing address
204 HAMPTON DR, VENICE, CA 90291-8633
(310) 396-6468
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
05/15/2025
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