Individual
JAMIL RONDRICK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
1358 64TH ST APT C4, BROOKLYN, NY 11219-5388
(917) 586-1031
Mailing address
1358 64TH ST APT C4, BROOKLYN, NY 11219-5388
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006607
NY
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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