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Individual

ALITA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
109 N MAIN AVE, WILBUR, WA 99185
(509) 647-5500
Mailing address
PO BOX 68, WILBUR, WA 99185-0068

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60623285
WA

Other

Enumeration date
04/08/2016
Last updated
04/08/2016
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