Individual
JEFF KHAI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10001 COUNTY FARM RD, RIVERSIDE, CA 92503-3507
(951) 358-4382
Mailing address
5870 ARLINGTON AVE, RIVERSIDE, CA 92504-2037
(951) 683-6596
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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