Individual
MRS. CHALON D SMITH-ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5190 ATLANTIC AVE, LONG BEACH, CA 90805-6510
(562) 428-4111
Mailing address
PO BOX 6222, COMPTON, CA 90224-6222
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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