Individual
CASEY MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., DIPL. AC.
Contact information
Practice address
12114 VENICE BLVD, LOS ANGELES, CA 90066-3812
(310) 399-5388
Mailing address
10866 WASHINGTON BLVD., #22, CULVER CITY, CA 90232
(310) 399-5388
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
8303
CA
171100000X
Acupuncturist
AC-8303
CA
171100000X
Acupuncturist
NCC22627
—
Other
Enumeration date
06/17/2011
Last updated
10/25/2021
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