Individual
SAMANTHA LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
110 W MARKET ST, SUITE 206, ABERDEEN, WA 98520-6206
(360) 537-0777
Mailing address
6149 OLD OLYMPIC HWY SW, OLYMPIA, WA 98512-9425
(360) 580-1805
(360) 866-1465
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00020113
WA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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