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Individual

MR. LADUAN SMEDLEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
2076 ALTA LOMA ST, DAVIS, CA 95616
(916) 539-0853
Mailing address
2076 ALTA LOMA ST, DAVIS, CA 95616-0714
(916) 539-0853

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
03498
CA

Other

Enumeration date
03/26/2015
Last updated
03/26/2015
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