Smith, Jacqueline Marie

Smith, Jacqueline Marie is an individual health care provider with primary practice located at 2616 Erwin Ave , Dupont WA 98327-8758. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Smith, Jacqueline Marie can be contacted via phone (951) 966-9949.

Contact Information

Primary practice address
2616 Erwin Ave Dupont WA 98327-8758
Phone: (951) 966-9949
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X

Profile Details

NPI number 1013353432
LBN Legal business name Smith, Jacqueline Marie
Credentials CTRS
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2013
Last updated May 13th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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