MR. Clement Gustavous Smith, CAREGIVER

NPI #1023362373 in Port Charlotte, Florida

Provider Information

NPI Number: 1023362373
Entity Type: Individual
Name: MR. Clement Gustavous Smith, CAREGIVER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Adult Companion
Credential: CAREGIVER
Enumeration Date: Nov 7, 2012
Last Updated: Nov 7, 2012

Practice Location

Address: 3081 JODY STREET
City: Port Charlotte
State: Florida
ZIP Code: 33948
Phone: (941) 764-7461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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Organizations

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