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Marquita Smith

Student in an Organized Health Care Education/Training Program in Ontario, CA. Individual provider (NPI-1).

NPI number1669921052
StatusActive
Last updated in NPPESSep 26, 2016

Details

NPI
1669921052
Entity type
Individual (NPI-1)
Name
Marquita Smith
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 26, 2016
Last updated
Sep 26, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1556 S Sultana Ave
Ontario, CA 91761-4238

Phone 909-418-6923 · Fax 909-418-6937

Mailing address

1556 S Sultana Ave
Ontario, CA 91761-4238

Phone 909-418-6923 · Fax 909-418-6937

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Ontario, CA

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