Leesa M Smith, IDMT Valid NPI

Individual provider · Independent Duty Medical Technicians · Fort Lewis, WA

NPI

1013200757

Type

Individual (Type 1)

Primary specialty

Independent Duty Medical Technicians (Military Health Care Provider)

Specialty group

Other Service Providers

Taxonomy code

1710I1003X

Sex

Female

Sole proprietor

No

Enumerated

2011-05-26

Last updated

2011-05-26