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Austin Matthew Smith, OMS-IV
Student in an Organized Health Care Education/Training Program in Modesto, California
NPI 1215710223

Austin Matthew Smith is a Student in an Organized Health Care Education/Training Program based in League City, CA. Austin Matthew Smith practices in Modesto, CA and has the professional credentials of OMS-IV. The NPI Number for Austin Matthew Smith is 1215710223 and holds a License No. (California).

The current practice location address for Austin Matthew Smith is 1441 Florida Ave, Modesto, CA and can be reached out via phone at 209-573-6183.

Location: 1441 Florida Ave, Modesto, CA, 77573-0745
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215710223
Provider Name
Austin Matthew Smith
Credential
OMS-IV
Provider Entity Type
Individual
Gender
Male
Address
1441 Florida Ave, Modesto, CA, 77573-0745
Phone Number
209-573-6183
Fax Number
Provider Enumeration Date
08/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1441 Florida Ave
City
Modesto
State
California
Zip
95350-4404
Phone Number
209-573-6183
Fax Number
person
Provider Business Mailing Address Details
Address
1441 Florida Ave
City
Modesto
State
California
Zip
95350-4404
Phone Number
209-573-6183
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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