Individual provider · NPI-1

Alvin James Smith

Student in an Organized Health Care Education/Training Program · Tempe, AZ

NPI number1114521267
StatusActive
Last updated in NPPESNov 29, 2020

Details

NPI
1114521267
Entity type
Individual (NPI-1)
Name
Alvin James Smith
Sex
Male
Sole proprietor
No
Enumeration date
Nov 29, 2020
Certification date
Nov 29, 2020
Last updated
Nov 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
175T00000X Peer Specialist––

Practice location

1003 W Washington St Apt 1064
Tempe, AZ 85281-0927

Phone 202-907-9344

Mailing address

1003 W Washington St Apt 1064
Tempe, AZ 85281-0927

Phone 202-907-9344

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