Individual
SHARESE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20500 BELSHAW AVE # EXCA1377, CARSON, CA 90746-3506
(855) 442-5885
Mailing address
20500 BELSHAW AVE # EXCA1377, CARSON, CA 90746-3506
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/21/2020
Last updated
07/30/2024
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