Individual
SAMANTHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6808 220TH ST SW, SUITE 203, MOUNTLAKE TERRACE, WA 98043-2187
(425) 776-1056
(425) 776-4357
Mailing address
6808 220TH ST SW, SUITE 203, MOUNTLAKE TERRACE, WA 98043-2187
(425) 776-1056
(425) 776-4357
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60183928
WA
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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