Smith, Prudence Ellen
Smith, Prudence Ellen is an individual health care provider with primary practice located at 4290 Polk Ave , San Diego CA 92105-1524. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Smith, Prudence Ellen can be contacted via phone (619) 563-0507.Contact Information
Primary practice address
4290 Polk Ave
San Diego CA 92105-1524
Phone: (619) 563-0507
Fax: (619) 563-0015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN501591 | California |
Profile Details
| NPI number | 1801878533 |
|---|---|
| LBN Legal business name | Smith, Prudence Ellen |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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