Individual
SARA J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
416 NINTH ST, WENATCHEE, WA 98801
(509) 662-2161
(509) 662-2162
Mailing address
416 NINTH ST, WENATCHEE, WA 98801
(509) 662-2161
(509) 662-2162
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00017672
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0168898
DEPARTMENT OF LABOR & IND
WA
Enumeration date
01/16/2007
Last updated
07/08/2007
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