Individual
SMOKEY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
6833 STOCKTON BLVD STE 485, SACRAMENTO, CA 95823-2376
(530) 646-9602
Mailing address
5917 VILLA ROSA WAY, ELK GROVE, CA 95758-6120
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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