Shannon Lara Smith is a student in an organized health care education training program in Berkeley, CA. The provider is 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. Shannon Lara Smith NPI is 1336329564. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3200 ADELINE STREET
BERKELEY, CA
ZIP 94703-501
Phone: (415) 859-6264
The enumeration date for this NPI number is 11/5/2007 and was last updated on 7/31/2008.