Individual
HANNAH MICHELLE SMITH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
413 N MISSION ST, WENATCHEE, WA 98801-2007
(509) 662-1955
(509) 662-6695
Mailing address
171 RAPTOR HAVEN LN, TIETON, WA 98947-5500
(256) 714-8489
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 60537351
WA
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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