Individual
ALISHA MUSUME SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3530 E LA PALMA AVE, 639, ANAHEIM, CA 92806-2142
(714) 683-3326
Mailing address
3530 E LA PALMA AVE, 639, ANAHEIM, CA 92806-2142
(714) 683-3326
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/23/2010
Last updated
07/25/2013
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