Search › California › 101YA0400X
Ebony Smith
NPI 1790204980 · on the registry since 2017 · sole proprietor
Practice
- Address
- 6851 Plymouth Rd Apt 24
Stockton, CA 95207 - Phone
- (209) 210-7079
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-09-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California