Individual
MS. JESSICA LEIGH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00001636
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0167983
L&I
WA
05
—
1467436824
—
WA
01
—
P01290256
RR MEDICARE
WA
Enumeration date
11/30/2005
Last updated
08/30/2022
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