Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225CA2400X | Assistive Technology Practitioner |
NPI | 1033881529 |
---|---|
Provider Name | Jocelyn Smith |
First Address | Fairfield, CA 94534-7978 |
Second Address | Fairfield, CA 94534-7978 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2021 |
Last Update Date | 02/10/2021 |