Individual
JEFFREY DEAN SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1782 W COLUMBIA WAY, HANFORD, CA 93230-1104
(559) 477-7965
Mailing address
1782 W COLUMBIA WAY, HANFORD, CA 93230-1104
(559) 477-7965
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
211288
CA
Other
Enumeration date
08/07/2012
Last updated
08/06/2015
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