Individual
LACRESIA MARIE DENNIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13001 RAMONA BLVD STE I, IRWINDALE, CA 91706-3752
(626) 337-3828
Mailing address
13001 RAMONA BLVD STE I, IRWINDALE, CA 91706-3752
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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