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Fantastic Smith

NPI 1235053877 · on the registry since 2026 · sole proprietor

Practice

Address
53 Carol Ln Apt 330
Oakley, CA 94561
Phone
(510) 693-7371

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California