Individual
MRS. TAMARA S SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDM
Contact information
Practice address
545 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8171
(907) 315-3070
(907) 373-1085
Mailing address
PO BOX 879548, WASILLA, AK 99687-9548
(907) 315-3070
(907) 373-1085
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
59
AK
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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