Individual
RANDALL JAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1321 S WESTWOOD DR, ZANESVILLE, OH 43701-5650
(740) 297-7596
Mailing address
1321 S WESTWOOD DR, ZANESVILLE, OH 43701-5650
(740) 819-7054
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
NA
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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