Individual
JENNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N FAIRVIEW ST, LOCK HAVEN, PA 17745-2390
(814) 915-0794
Mailing address
713 E OGLE ST, EBENSBURG, PA 15931-2019
(814) 915-0794
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/06/2024
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