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Individual

MS. ALYSSA DANIELLE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.S.

Contact information

Practice address
1501 LAKESIDE DR, LYNCHBURG, VA 24501-3113
(434) 544-1800
Mailing address
132 VISTA LN, ORANGEBURG, SC 29115-8224
(803) 570-9078

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
08/13/2021
Last updated
08/13/2021
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