Individual
AQUANTINA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LAT
Contact information
Practice address
8020 LEAD CIR APT 1012, FT WORTH, TX 76137-8510
(281) 636-7866
Mailing address
8020 LEAD CIR APT 1012, FT WORTH, TX 76137-8510
(281) 636-7866
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
TX
2255A2300X
Athletic Trainer
AT4690
TX
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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