Individual
JONATHAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
1248 32ND ST, SACRAMENTO, CA 95816-5210
(916) 452-2218
Mailing address
1248 32ND ST, SACRAMENTO, CA 95816-5210
(916) 452-2218
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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