Individual
MISS JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5919 S MAIN ST, CLINTON, OH 44216-9427
(330) 606-7258
Mailing address
5919 S MAIN ST, CLINTON, OH 44216-9427
(330) 606-7258
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004476
OH
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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