Individual
MR. BERNARD ANTHONY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
3501 AUBURN WAY S TRLR 71, AUBURN, WA 98092-7291
(253) 880-6948
Mailing address
3501 AUBURN WAY S TRLR 71, AUBURN, WA 98092-7291
(253) 880-6948
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00025299
WA
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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