Individual
JOANN M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25111 EBONY LIV, LOMITA, CA 90717
(310) 530-1367
Mailing address
25111 EBONY LIV, LOMITA, CA 90717
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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