ANTHONY RAY SMITH JR

ORANGE, CA
NPI1265213110
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2023-10-06
Last Update Date2023-12-12
Business Address
ANTHONY RAY SMITH JR
265 S ANITA DR STE 102-104
ORANGE, CA 92868-3355
Phone number: 310-945-3350
Mailing Address
ANTHONY RAY SMITH JR
9808 VENICE BLVD STE 505
CULVER CITY, CA 90232-6818
Phone number: 310-945-3350