Individual
DEBBIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10315 SILVERDALE WAY NW STE D4, SILVERDALE, WA 98383-7670
(360) 692-5577
Mailing address
PO BOX 3767, SILVERDALE, WA 98383-3767
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00004674
WA
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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