Stacey Lee Smith
Student in an Organized Health Care Education/Training Program in Seattle, WA. Individual provider (NPI-1).
NPI number1982198529
StatusActive
Last updated in NPPESJun 18, 2018
Details
- NPI
- 1982198529
- Entity type
- Individual (NPI-1)
- Name
- Stacey Lee Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2018
- Last updated
- Jun 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
122 16th Ave ESeattle, WA 98112-5212
Phone 206-302-2700 · Fax 206-302-2210
Mailing address
6400 Southcenter BlvdTukwila, WA 98188-2547
Phone 206-444-3600 · Fax 206-444-3610
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