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Individual

MS. SUSAN E SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC LAT

Contact information

Practice address
16713 ELLA BLVD, HOUSTON, TX 77090-4213
(281) 586-1364
Mailing address
1403 CARAQUET DR, SPRING, TX 77386-2686
(281) 419-2218

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/30/2006
Last updated
09/06/2023
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