Willie Smith is a Driver based in San Jose, CA. Willie Smith practices in San Jose, CA. The NPI Number for Willie Smith is 1023786746 and holds a License No. A4709810 (California).
The current practice location address for Willie Smith is 1265 N Capitol Ave Apt 90, San Jose, CA and can be reached out via phone at 408-886-8070.
Location: 1265 N Capitol Ave Apt 90, San Jose, CA, 95132-2546
Provider Profile Details
NPI Number
1023786746
Provider Name
Willie Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
1265 N Capitol Ave Apt 90, San Jose, CA, 95132-2546
Phone Number
408-886-8070
Fax Number
Provider Enumeration Date
08/30/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1265 N Capitol Ave Apt 90
City
State
Zip
95132-2546
Phone Number
408-886-8070
Fax Number
Provider Business Mailing Address Details
Address
1265 N Capitol Ave Apt 90
City
State
Zip
95132-2546
Phone Number
408-886-8070
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
A4709810 (California)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Badge
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