Individual
MS. SUSAN GAIL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE, BC-ADM
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR, ENDOCRINE CLINIC, TACOMA, WA 98431-0001
(253) 968-0248
Mailing address
8516 153RD ST E, PUYALLUP, WA 98375-8473
(253) 841-8894
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN00109202
WA
Other
Enumeration date
04/13/2006
Last updated
07/08/2007
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