Individual
MS. JENNIFER LYNNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
523 FOREST EDGE, WOODBURY, NJ 08096-2952
(856) 472-5839
Mailing address
523 FOREST EDGE, WOODBURY, NJ 08096-2952
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00166100
NJ
Other
Enumeration date
05/14/2022
Last updated
05/14/2022
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