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Individual

RACQUEL SMITH BUENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
34503 9TH AVE S STE 220, FEDERAL WAY, WA 98003-8726
(253) 944-2080
(253) 944-2099
Mailing address
722 N TACOMA AVE, TACOMA, WA 98403-2831
(808) 561-3527

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD-12516
HI
208600000X
Surgery Physician
Primary
MD61356110
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2251604
WA
Enumeration date
04/27/2007
Last updated
11/02/2023
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