Individual
MR. XAVIER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPT, CHC, CLC
Contact information
Practice address
4109 W MAGGIE DR, SAN TAN VALLEY, AZ 85142-3748
(480) 524-0258
Mailing address
4109 W MAGGIE DR, SAN TAN VALLEY, AZ 85142-3748
(480) 524-0258
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
AZ
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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