Individual
DARRIANNE JADE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
207 SW 6TH ST, SEMINOLE, TX 79360-4305
(432) 758-3662
Mailing address
4106 18TH ST # A, LUBBOCK, TX 79416-6009
(806) 778-4930
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT9717
TX
Other
Enumeration date
08/22/2022
Last updated
05/20/2024
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