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Individual

WESLEY PAUL SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SFA-C

Contact information

Practice address
308 TUSCANY CT., HENDERSON, NV 89074
(702) 283-6196
(702) 425-7480
Mailing address
308 TUSCANY CT, HENDERSON, NV 89074-5941
(702) 283-6196
(702) 425-7480

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
00F536
NV

Other

Enumeration date
01/31/2011
Last updated
01/31/2011
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