Individual
ANDREA JEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3318 N DEFIANCE ST, TACOMA, WA 98407-1512
(253) 232-5573
Mailing address
3318 N DEFIANCE ST, TACOMA, WA 98407-1512
(253) 232-5573
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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