Individual
SHANNON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31605 41ST AVE E, EATONVILLE, WA 98328-9754
(253) 370-6987
Mailing address
31605 41ST AVE E, EATONVILLE, WA 98328-9754
(253) 370-6987
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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