Individual
FREDERICK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2280 COUNTRY COTTAGE CT, LAS VEGAS, NV 89117-1845
(310) 895-3520
Mailing address
2280 COUNTRY COTTAGE CT, LAS VEGAS, NV 89117-1845
(310) 895-3520
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
NV
Other
Enumeration date
02/22/2025
Last updated
02/22/2025
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