ELLEN MEG SMITH

INDIO, CA
NPI1225029804
Other NameELLEN ESPARZA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A6168)
Enumeration Date2005-11-02
Last Update Date2015-03-30
Business Address
-- ELLEN MEG SMITH D.O.
81767 DR CARREON BLVD STE 201
INDIO, CA 92201-5599
Phone number: 760-625-0569
Mailing Address
-- ELLEN MEG SMITH D.O.
14202 CRYSTAL VIEW TER
RIVERSIDE, CA 92508-8707
Phone number: 951-907-4539