Individual
CORY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8359 YARROW LN, RIVERSIDE, CA 92508-2923
(951) 452-1636
Mailing address
8359 YARROW LN, RIVERSIDE, CA 92508-2923
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/14/2016
Last updated
07/06/2016
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