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Individual

DONNA L SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 251-5110
(425) 793-4707
Mailing address
PO BOX 59028, RENTON, WA 98058-2028
(425) 251-5110
(425) 793-7458

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
11/06/2009
Last updated
10/04/2010
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