Individual
HEAVEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19106 LONGVIEW AVE, MAPLE HEIGHTS, OH 44137-1629
(216) 712-3527
Mailing address
19106 LONGVIEW AVE, MAPLE HEIGHTS, OH 44137-1629
(216) 712-3527
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OH
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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