Individual
VENUS CRYSTAL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
780 2NDSTREET SE STE 6, BANDON, OR 97411-1894
(541) 347-5169
Mailing address
PO BOX 1894, BANDON, OR 97411-1894
(541) 347-5169
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3028
OR
Other
Enumeration date
06/17/2005
Last updated
05/02/2012
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