Collis Smith
Collis Smith is a Licensed Psychiatric Technician in San Bernardino, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
Practice location Address checks out
2080 S E StSan Bernardino, CA 92408-2706
Phone: (909) 825-8989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Psychiatric Technician (primary) | Taxonomy 167G00000X · Licence 34214 (CA) |
|---|
Record details
| NPI number | 1184959173 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 8, 2009 |
| Last updated in NPPES | October 8, 2009 |
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