Individual
BREANNE MICHELE SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
737 LOGAN AVE N, RENTON, WA 98057
(425) 965-4611
Mailing address
10555 MAIN ST APT 326, BELLEVUE, WA 98004-6789
(971) 678-7708
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160963108
WA
Other
Enumeration date
04/24/2019
Last updated
05/08/2020
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