Individual
TIMON A. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10526 PACE AVE, LOS ANGELES, CA 90002-3425
(213) 915-1966
Mailing address
10526 PACE AVE, LOS ANGELES, CA 90002-3425
(213) 915-1966
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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