Individual
SANDRA YVETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8222 BEACH WAY DR, BLAINE, WA 98230-9581
(360) 920-5318
Mailing address
8222 BEACH WAY DR, BLAINE, WA 98230-9581
(360) 920-5318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60200301
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60200301
RN
WA
01
—
60200301
RN
—
Enumeration date
03/11/2020
Last updated
03/11/2020
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