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Individual

KERI ELLEN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18512 112TH AVE E, PUYALLUP, WA 98374-8867
(650) 622-6114
Mailing address
18512 112TH AVE E, PUYALLUP, WA 98374-8867
(650) 622-6114

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
WA

Other

Enumeration date
11/11/2025
Last updated
11/11/2025
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