PRUDENCE ELLEN SMITH

SAN DIEGO, CA
NPI1801878533
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  RN501591)
Enumeration Date2005-11-17
Last Update Date2007-07-08
Business Address
MS. PRUDENCE ELLEN SMITH RN
4290 POLK AVE
SAN DIEGO, CA 92105-1524
Phone number: 619-563-0507
Mailing Address
MS. PRUDENCE ELLEN SMITH RN
4290 POLK AVE
SAN DIEGO, CA 92105-1524
Phone number: 619-563-0507