Individual
EMALEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
264 W MARK ST, WINONA, MN 55987-3357
(847) 894-7702
Mailing address
286 MAYFAIR LN, SOUTH ELGIN, IL 60177-2741
(847) 894-7702
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MN
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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