Individual
JASON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SMITH COUNTRY HOME
Contact information
Practice address
19 ORACLE CT, SACRAMENTO, CA 95823-4086
(916) 226-0210
Mailing address
19 ORACLE CT, SACRAMENTO, CA 95823-4086
(916) 226-0210
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
347005085
CA
Other
Enumeration date
12/18/2014
Last updated
12/30/2014
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