Individual provider · Type 1 NPI

Amanda Marie Smith

Student in an Organized Health Care Education/Training Program · San Bernardino, CA

NPI number 1124859178 Active

Practice location

2080 S E St
San Bernardino, CA 92408-2773

Call (909) 433-9300 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124859178

Amanda Marie Smith's National Provider Identifier is 1124859178, issued on Aug 12, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Bernardino, CA. The record was last updated on Aug 12, 2024.