Individual
JEFFREY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
784 HIGH ST, SAN LUIS OBISPO, CA 93401-5243
(805) 503-0350
Mailing address
231 S MASON ST, ARROYO GRANDE, CA 93420-3314
(805) 305-9393
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/17/2008
Last updated
10/02/2025
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