| NPI | 1316698251 |
|---|---|
| Professional Name | THEOLISHIA VAUGHN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AL 346) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |