COLLIS SMITH

SAN BERNARDINO, CA
NPI1184959173
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  34214)
Enumeration Date2009-10-08
Last Update Date2009-10-08
Business Address
-- COLLIS SMITH
2080 S E ST
SAN BERNARDINO, CA 92408-2706
Phone number: 909-825-8989
Mailing Address
-- COLLIS SMITH
11650 CHERRY AVE
FONTANA, CA 92337-2786
Phone number: 909-904-9465
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