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Stacy Smith
Student in an Organized Health Care Education/Training Program in Ontario, California
NPI 1255069936

Stacy Smith is a Student in an Organized Health Care Education/Training Program based in Ontario, CA. Stacy Smith practices in Ontario, CA. The NPI Number for Stacy Smith is 1255069936 and holds a License No. (California).

The current practice location address for Stacy Smith is 1556 S Sultana Ave, Ontario, CA and can be reached out via phone at 909-418-6923 and via fax at 909-418-6937.

Location: 1556 S Sultana Ave, Ontario, CA, 91761-4238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255069936
Provider Name
Stacy Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
1556 S Sultana Ave, Ontario, CA, 91761-4238
Phone Number
909-418-6923
Fax Number
909-418-6937
Provider Enumeration Date
08/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1556 S Sultana Ave
City
Ontario
State
California
Zip
91761-4238
Phone Number
909-418-6923
Fax Number
909-418-6937
person
Provider Business Mailing Address Details
Address
1556 S Sultana Ave
City
Ontario
State
California
Zip
91761-4238
Phone Number
909-418-6923
Fax Number
909-418-6937
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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