Jacqueline Amie Smith, RN
Registered Nurse in San Diego, CA. Individual provider (NPI-1).
NPI number1336735893
StatusActive
Last updated in NPPESDec 17, 2020
Details
- NPI
- 1336735893
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jacqueline Amie Smith
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 17, 2020
- Certification date
- Dec 17, 2020
- Last updated
- Dec 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 95199893 | CA | Yes |
Other names
- N/A N/A Martineau (Former Name)
Practice location
3851 Rosecrans StSan Diego, CA 92110-3115
Phone 619-531-5800 · Fax 619-542-4186
Mailing address
3851 Rosecrans StSan Diego, CA 92110-3115
Phone 619-531-5800 · Fax 619-542-4186
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