Individual
CARL EDWARD SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1950 SIMMONS ST, #1045, LAS VEGAS, NV 89106-1569
(702) 557-1464
Mailing address
1950 SIMMONS ST, #1045, LAS VEGAS, NV 89106-1569
(702) 557-1464
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
1403246825
NV
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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