Individual
MRS. LEESA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
10447B LONGMIRE RD, FORT LEWIS, WA 98433
(253) 970-3244
Mailing address
10447B LONGMIRE RD, JOINT BASE LEWIS MCCHORD, WA 98433-1357
(253) 970-3244
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
TX
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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