Individual
CHRISTAL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 SMOKE TREE AVE, LAS VEGAS, NV 89108-1069
(702) 340-2278
Mailing address
1207 SMOKE TREE AVE, LAS VEGAS, NV 89108-1069
(702) 340-2278
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
NVMT.150
NV
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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