Individual
MARINA LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WILL BE L.AC.
Contact information
Practice address
11520 SW 220TH ST, VASHON, WA 98070-6448
(206) 463-9066
Mailing address
11520 SW 220TH ST, VASHON, WA 98070-6448
(206) 463-9066
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
PENDING
WA
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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