Individual
CHERYL LESLIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2395 BLACK DIAMOND RD, PORT ANGELES, WA 98363-9442
(360) 461-2254
Mailing address
2395 BLACK DIAMOND RD, PORT ANGELES, WA 98363-9442
(360) 461-2254
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00117182
WA
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN00117182
WA
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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