Individual
WESLEY WARREN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
31749 LA TIENDA RD, WESTLAKE VILLAGE, CA 91362-4010
(818) 575-9241
(818) 865-8786
Mailing address
31749 LA TIENDA RD, WESTLAKE VILLAGE, CA 91362-4010
(818) 575-9241
(818) 865-8786
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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