Logan Donovon Smith, BS

NPI #1235713009 in Monroe, Washington

Provider Information

NPI Number: 1235713009
Entity Type: Individual
Name: Logan Donovon Smith, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: BS
Enumeration Date: May 7, 2021
Last Updated: Jun 27, 2021

Practice Location

Address: 101 E MAIN ST STE 209
City: Monroe
State: Washington
ZIP Code: 98272-1519
Phone: (360) 485-0820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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