DIWAINE SMITH

LONG BEACH, CA
NPI1457743817
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2015-02-23
Last Update Date2015-02-23
Business Address
-- DIWAINE SMITH
2241 W WILLIAMS ST
LONG BEACH, CA 90810-3652
Phone number: 562-388-8183
Mailing Address
-- DIWAINE SMITH
2241 W WILLIAMS ST
LONG BEACH, CA 90810-3652
Phone number: 562-388-8183