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Mariana Shantell Smith

Case Manager/Care Coordinator in Sylmar, CA. Individual provider (NPI-1).

NPI number1649948530
StatusActive
Last updated in NPPESSep 3, 2021

Details

NPI
1649948530
Entity type
Individual (NPI-1)
Name
Mariana Shantell Smith
Sex
Female
Sole proprietor
No
Enumeration date
Sep 3, 2021
Certification date
Sep 3, 2021
Last updated
Sep 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

11600 Eldridge Ave
Sylmar, CA 91342-6506

Phone 818-686-3000

Mailing address

11600 Eldridge Ave
Sylmar, CA 91342-6506

Phone 818-686-3000

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