NPI 1013353432
Jacqueline Marie Smith, CTRS
Practice location
- Address
- 2616 Erwin Ave, Dupont, WA 98327-8758
- Phone
- (951) 966-9949
- Mailing address
- 2616 Erwin Ave, Dupont, WA 98327
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1013353432
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 May 2013
- Record last updated
- 13 May 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.