Individual
MR. PETER CORNELIUS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RCP
Contact information
Practice address
13651 WILLARD ST, PANORAMA CITY, CA 91402
(818) 375-2822
Mailing address
PO BOX 16843, ENCINO, CA 91416-6843
Taxonomy
Speciality
Code
Description
License number
State
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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