NPI | 1912566191 |
---|---|
Other Name | DAVID C SMITH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG60983987) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG60983987) |
Enumeration Date | 2019-06-11 |
Last Update Date | 2020-02-19 |