Individual
MS. EVETTE DELPHINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9616 WALNUT AVE, ELK GROVE, CA 95624-2324
(916) 686-1873
(916) 686-1874
Mailing address
9616 WALNUT AVE, ELK GROVE, CA 95624-2324
(916) 686-1873
(916) 686-1874
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
09-00006251
CA
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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