Shannon Lara Smith
Shannon Lara Smith is a Student in an Organized Health Care Education/Training Program in Berkeley, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
3200 Adeline StBerkeley, CA 94703-3501
Phone: (415) 859-6264
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1336329564 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 5, 2007 |
| Last updated in NPPES | July 31, 2008 |
| Mailing address | 3200 Adeline St, Berkeley, CA 94703-2407 |
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