Individual
SMOKEY FERMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
41651 PACIFICA CT, OROSI, CA 93647-2525
(559) 779-2607
Mailing address
41651 PACIFICA CT, OROSI, CA 93647-2525
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-559
ID
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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