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Individual

BRIAN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
33480 13TH PL S, FEDERAL WAY, WA 98003-6357
(253) 285-7101
Mailing address
33480 13TH PL S, FEDERAL WAY, WA 98003-6357

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00147465
WA

Other

Enumeration date
05/28/2020
Last updated
05/28/2020
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