Individual
ALEXIS NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5144 ROYAL BIRKDALE AVE, WALDORF, MD 20602-5189
(240) 472-9172
Mailing address
5144 ROYAL BIRKDALE AVE, WALDORF, MD 20602-5189
(240) 472-9172
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/27/2017
Last updated
07/01/2024
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