Individual
VANESSA C SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
5110 WALZEM RD, WINDCREST, TX 78218
Mailing address
5110 WALZEM RD, WINDCREST, TX 78218-2119
(210) 356-2224
(210) 650-1231
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4126
TX
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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