Individual
MRS. PEGGY ROSE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6911 38TH PL NE, MARYSVILLE, WA 98270-7554
(425) 268-8017
Mailing address
6911 38TH PL NE, MARYSVILLE, WA 98270-7554
(425) 268-8017
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9023-53
CA
374J00000X
Doula
Primary
6399-46
CA
Other
Enumeration date
12/20/2020
Last updated
12/20/2020
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