Individual
MISS JESSICA LYNNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 YORKSHIRE BLVD, SYRACUSE, NY 13219-1726
(315) 313-0618
Mailing address
106 YORKSHIRE BLVD, SYRACUSE, NY 13219-1726
(315) 313-0618
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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