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Individual

MRS. DENISE MARIE HERMANS-SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.P.

Contact information

Practice address
19110 BOTHELL WAY NE, SUITE 103, BOTHELL, WA 98011-2970
(206) 355-9319
(425) 424-0818
Mailing address
19711 108TH AVE NE, BOTHELL, WA 98011-2413
(206) 355-9319
(425) 424-0818

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00015961
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0178794
DEPT. OF L&I PROVIDER
WA
Enumeration date
01/12/2007
Last updated
07/08/2007
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