DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. WILLIE SMITH

Active Sole Proprietor

MR. WILLIE SMITH is a Driver healthcare provider located in SAN JOSE, California. NPI 1023786746 is currently active in the NPPES registry. Verify at CMS.

Driver · SAN JOSE, CA

Registration Details

NPI Number
1023786746
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2021 (4.7719487938368 yrs)
Last Updated
Aug 30, 2021
License
A4709810 (CA)
Sole Proprietor
Yes

Practice Information

Address
1265 N CAPITOL AVE APT 90
SAN JOSE, CA, 951322546
Browse CA providers · Browse ZIP 95132
Phone
4088868070
Primary Specialty
Driver
172A00000X

Other Driver Providers in SAN JOSE, CA

Name Credential NPI
SYLVANUS IKE CHUKWU 1801036660
MR. JOHNNY REYES EMT 1538476569
MS. ROSLYN ELAINE BROWN 1740551845
MR. CHRISTIANNE MARIANO 1689947947
ALBERT MANALO 1023432267
DEREJE DADI AREDA 1568926236
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.