Individual
SAMUEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1946 ONA MARIE AVE, NORTH LAS VEGAS, NV 89032-4867
(585) 201-4567
Mailing address
1946 ONA MARIE AVENUE, LAS VEGAS, NV 89106
(585) 201-4567
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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