KEILONI SMITH

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1114541554

Practice Address

901 E ALOSTA AVE
Azusa, CA 91702

Phone: (626) 969-3434

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No Y4201286 (CA)
Specialist/Technologist - Athletic Trainer 2255A2300X Yes Y4201286 (CA)

Frequently Asked Questions

NPI 1114541554 is the National Provider Identifier for KEILONI SMITH, a Specialist/Technologist - Athletic Trainer provider located in Azusa, CA. This NPI was enumerated on June 2, 2020.
KEILONI SMITH practices at 901 E ALOSTA AVE, Azusa, CA 91702.

Quick Facts

NPI
1114541554
Type
Individual
Enumerated
Jun 2, 2020
Last Updated
Jun 2, 2020

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