Individual
GARYSON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30010 WHEMBLY CIR, MENIFEE, CA 92584-5613
(951) 232-3270
Mailing address
30010 WHEMBLY CIR, MENIFEE, CA 92584-5613
(951) 232-3270
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5249
CA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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