Individual
THEOLISHIA VAUGHN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5160 VALLEYBROOK CIR, BIRMINGHAM, AL 35244-1971
(205) 903-5357
Mailing address
5160 VALLEYBROOK CIR, BIRMINGHAM, AL 35244-1971
(205) 903-5357
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
346
AL
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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