DUSTY JOE SMITH

LOS ANGELES, CA
NPI1851517411
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA  030602012)
Enumeration Date2007-04-18
Last Update Date2007-07-08
Business Address
-- DUSTY JOE SMITH A.T.C.
100 S BARRINGTON PL
LOS ANGELES, CA 90049-3306
Phone number: 310-889-2794
Mailing Address
-- DUSTY JOE SMITH A.T.C.
1328 19TH ST APT A
SANTA MONICA, CA 90404-1926
Phone number: