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Lorelei De Leon Smith
Student in an Organized Health Care Education/Training Program in Pleasanton, California
NPI 1558882027

Lorelei De Leon Smith is a Student in an Organized Health Care Education/Training Program based in Concord, CA. Lorelei De Leon Smith practices in Pleasanton, CA. The NPI Number for Lorelei De Leon Smith is 1558882027 and holds a License No. (California).

The current practice location address for Lorelei De Leon Smith is 5776 Stoneridge Mall Road, Pleasanton, CA and can be reached out via phone at 925-223-8047.

Location: 5776 Stoneridge Mall Road, Pleasanton, CA, 94518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558882027
Provider Name
Lorelei De Leon Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
5776 Stoneridge Mall Road, Pleasanton, CA, 94518
Phone Number
925-223-8047
Fax Number
Provider Enumeration Date
07/05/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5776 Stoneridge Mall Road
City
Pleasanton
State
California
Zip
94588
Phone Number
925-223-8047
Fax Number
person
Provider Business Mailing Address Details
Address
5776 Stoneridge Mall Road
City
Pleasanton
State
California
Zip
94588
Phone Number
925-223-8047
Fax Number
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.
(California)
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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