BLAZE SMITH

HONOLULU, HI
NPI1962881011
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2015-05-21
Last Update Date2015-05-21
Business Address
BLAZE SMITH ATC
1337 LOWER CAMPUS RD
HONOLULU, HI 96822-2352
Phone number: 808-956-7144
Mailing Address
BLAZE SMITH ATC
1337 LOWER CAMPUS RD
HONOLULU, HI 96822-2352
Phone number: 808-956-7144
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