Individual
MISS NADYA ALEXANDRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1190 RIDDLE ST, DARRINGTON, WA 98241
(360) 436-1055
Mailing address
1190 RIDDLE ST, PO BOX 390, DARRINGTON, WA 98241
(360) 436-1055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004298
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8319246
—
WA
Enumeration date
06/07/2006
Last updated
12/05/2007
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