Individual
NICHOLE L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-5947
(253) 838-6180
(253) 838-6285
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-5947
(253) 838-6180
(253) 838-6285
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004867
MI
Other
Enumeration date
09/12/2006
Last updated
11/09/2012
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