Individual
SHAQUILLE SMITH-HARDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
234 VERMONT ST, BROOKLYN, NY 11207-3008
(347) 768-9826
Mailing address
234 VERMONT ST, BROOKLYN, NY 11207-3008
(347) 768-9826
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NY
Other
Enumeration date
09/01/2019
Last updated
09/01/2019
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