Individual
LEON ROOSEVELT SMITH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 28TH ST, BAKERSFIELD, CA 93301-1924
(661) 868-7550
Mailing address
2001 28TH ST, BAKERSFIELD, CA 93301-1924
(661) 868-7550
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-PDCFYR
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
03/12/2026
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