Individual
JACQUELYN AUBIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
915 S JACKSON ST, MONTGOMERY, AL 36104-5714
(334) 229-4182
Mailing address
915 S JACKSON ST, MONTGOMERY, AL 36104-5714
(334) 229-4182
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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