ROBERTA JEAN SMITH

PISMO BEACH, CA
NPI1487184123
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224L00000X Pedorthist
(Licence: CA  cped3993)
Enumeration Date2017-06-15
Last Update Date2022-07-21
Business Address
Ms. ROBERTA JEAN SMITH c.ped
801 DOLLIVER ST
PISMO BEACH, CA 93449-2503
Phone number: 805-773-5571
Mailing Address
Ms. ROBERTA JEAN SMITH c.ped
801 DOLLIVER
PISMO BEACH, CA 93449
Phone number: 805-773-5571
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