Smith, Evonne D
Smith, Evonne D is an individual health care provider with primary practice located at Po Box 61281 , Pasadena CA 91116-7281. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Smith, Evonne D can be contacted via phone (626) 808-4131.Contact Information
Primary practice address
Po Box 61281
Pasadena CA 91116-7281
Phone: (626) 808-4131
Fax: (626) 657-8184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Lactation Consultant, Non-RN | 174N00000X | L-135842 | California |
Profile Details
| NPI number | 1700393709 |
|---|---|
| LBN Legal business name | Smith, Evonne D |
| Credentials | IBCLC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2017 |
| Last updated | Apr 13th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700393709 | NPPES |
| Other | 1144920596 | NPPES |
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