Tyra Paige Reece-Smith
Pediatrics in Fresno, CA. Individual provider (NPI-1).
NPI number1982166393
StatusActive
Last updated in NPPESMar 28, 2024
Details
- NPI
- 1982166393
- Entity type
- Individual (NPI-1)
- Name
- Tyra Paige Reece-Smith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2019
- Certification date
- Mar 28, 2024
- Last updated
- Mar 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | A177468 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
155 N Fresno StFresno, CA 93701-2302
Phone 559-499-6556
Mailing address
2880 Atlantic Ave Ste 170Long Beach, CA 90806-1715
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