Individual
ELIZABETH ANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 CALIFORNIA ST, EUREKA, CA 95501-2808
(707) 443-7358
Mailing address
1802 CALIFORNIA ST, EUREKA, CA 95501-2808
(707) 443-7358
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
22570
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22570
BBS
CA
Enumeration date
01/23/2007
Last updated
07/01/2011
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