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Garran Smith

NPI 1821408949 · on the registry since 2014 · sole proprietor

Practice

Address
8014 Mango Ave
Apt F75
Fontana, CA 92336
Phone
(909) 900-7710

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California