Individual
MRS. LILIANA O. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
526 REDWING CT, MERCED, CA 95340-8351
(209) 383-3872
Mailing address
526 REDWING CT, MERCED, CA 95340-8351
(209) 383-3872
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT5553
CA
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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