Individual
MRS. ASHLEY ELISE SMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT-B
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1110
Mailing address
9040 JACKSON AVENUE, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E3022364
—
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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