Individual
MISS DANIELLE H SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1319 PUNAHOU ST STE 630, HONOLULU, HI 96826-1044
(808) 945-3766
Mailing address
1319 PUNAHOU ST STE 630, HONOLULU, HI 96826-1044
(808) 945-3766
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 216
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT-216
STATE LICENSURE
HI
Enumeration date
06/24/2016
Last updated
05/03/2022
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