JERROLD T SMITH

LOMA LINDA, CA
NPI1629160676
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2006-09-28
Last Update Date2007-07-08
Business Address
-- JERROLD T SMITH
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
Mailing Address
-- JERROLD T SMITH
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
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