Individual
ALTON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 E SANDERS ST, GONZALES, LA 70737-3144
(225) 647-4105
Mailing address
12073 RODDY RD APT 21, GONZALES, LA 70737-1837
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/01/2018
Last updated
07/01/2018
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