Individual
MR. STEPHEN JAVOIL SMITH II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
833 ASPEN PEAK LOOP, APT# 1622, HENDERSON, NV 89011-1803
(702) 420-9625
Mailing address
833 ASPEN PEAK LOOP, APT# 1622, HENDERSON, NV 89011-1803
(702) 420-9625
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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