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Individual

KERRIE A SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.T.C

Contact information

Practice address
2560 COLORADO BLVD, EAGLE ROCK, CA 90041-1005
(323) 255-5409
(323) 255-5732
Mailing address
2560 COLORADO BLVD, EAGLE ROCK, CA 90041-1005
(323) 255-5409
(323) 255-5732

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
900002121
CA

Other

Enumeration date
07/22/2013
Last updated
07/22/2013
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