Individual
MRS. ASHLEY ELISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1945 GARRY OAKS AVE UNIT B, DUPONT, WA 98327-6705
(919) 757-7206
Mailing address
1945 GARRY OAKS AVE UNIT B, DUPONT, WA 98327-6705
(919) 757-7206
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60294898
WA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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