Individual
CAMERON LANAI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2275 S MAIN ST STE 102, CORONA, CA 92882-5303
(951) 273-7742
Mailing address
15644 EASTWIND AVE, FONTANA, CA 92336-5204
(909) 961-7487
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
306902
CA
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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