Individual
ALYSSE MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 BOSTIC SUNSHINE HWY, BOSTIC, NC 28018-9527
(828) 748-9619
Mailing address
1490 BOSTIC SUNSHINE HWY, BOSTIC, NC 28018-9527
(828) 748-9619
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
37269184
NC
Other
Enumeration date
01/02/2017
Last updated
01/02/2017
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