Individual
GERNARD SMALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 HUGHES WAY STE 150, LONG BEACH, CA 90810-1878
(310) 221-6336
Mailing address
1501 HUGHES WAY STE 150, LONG BEACH, CA 90810-1878
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
225800000X
Recreation Therapist
—
—
Other
Enumeration date
09/20/2013
Last updated
09/14/2023
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