CARMEN SMITH

FORT WAYNE, IN
NPI1235599374
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001527A)
Enumeration Date2016-03-02
Last Update Date2024-12-05
Business Address
CARMEN SMITH LAT, ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 260-450-8286
Mailing Address
CARMEN SMITH LAT, ATC
3946 ICE WAY
FORT WAYNE, IN 46805-1018
Phone number: 260-450-8286
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