Individual
CALLY MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3124 S 19TH ST STE 220, TACOMA, WA 98405-2433
(253) 301-5050
(253) 301-5070
Mailing address
2715 40TH ST E APT D, TACOMA, WA 98404-5335
(253) 686-5434
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61350382
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/25/2021
Last updated
11/21/2022
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