AUDREY ETTA SMITH

STUDIO CITY, CA
NPI1639653447
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: CA  95010044)
Enumeration Date2018-09-18
Last Update Date2018-09-18
Business Address
Miss AUDREY ETTA SMITH
12311 VENTURA BLVD
STUDIO CITY, CA 91604-2509
Phone number: 818-762-1167
Mailing Address
Miss AUDREY ETTA SMITH
18560 VANOWEN ST UNIT 21
RESEDA, CA 91335-5307
Phone number: 818-632-1248