DEHRON BERLIN SMITH

ITHACA, NY
NPI1467121483
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2021-09-13
Last Update Date2021-09-13
Business Address
DEHRON BERLIN SMITH
953 DANBY RD
ITHACA, NY 14850-7002
Phone number: 607-262-6382
Mailing Address
DEHRON BERLIN SMITH
953 DANBY RD
ITHACA, NY 14850-7000
Phone number: