Isais Wellington Smith

NPI 1124204961 - Counselor - 101YM0800X

NPI Details
NPI 1124204961
Gender Male
Enumeration Date 01/10/2008
Last Updated 08/08/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
4740 N GRAND AVE
COVINA CA, 91724-2005, US
Phone (626) 859-2089
Fax
Business Location
4740 N GRAND AVE
COVINA CA, 91724-2005, US
Phone (626) 859-2980
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Isais Wellington Smith NPI is 1124204961, taxonomy code is 101YM0800X Isais Wellington Smith physically located at 4740 N Grand Ave, Covina CA, 91724-2005. NPI Number Isais Wellington Smith has the Individual type.

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1124204961 NPI number is provided on an as is basis without warranty of any kind. 1124204961 is maintained by the National Plan & Provider Enumeration System. The contents of Isais Wellington Smith are for informational purposes only.