Most Relevant Information
Provider Data
| NPI Number: | 1003576190 |
| Provider Name: | GRACE MARIE SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/30/2021 |
| Last Updated: | 03/30/2024 |
Provider Practice Location
1959 NE PACIFIC ST # 356540
SEATTLE
WA
981951458
Practice Location Phone/Fax
| Phone: | 2065432474 |
| Fax: |
Provider Mailing Location
1959 NE PACIFIC ST BOX 356540
SEATTLE
WA
981950001
Provider Mailing Phone/Fax
| Phone: | 2065432474 |
| Fax: |