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Individual

MR. BRUCE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
50 W MAIN ST STE 110, WOODLAND, CA 95695-3083
(916) 452-3981
Mailing address
2750 SUTTERVILLE RD, SACRAMENTO, CA 95820-1024
(916) 452-3981

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/19/2008
Last updated
07/15/2022
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