LARRY VERN SMALLEY

EVERETT, WA
NPI1811678519
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374700000X Technician
(Licence: WA  CM60901639)
Enumeration Date2023-07-26
Last Update Date2023-07-26
Business Address
LARRY VERN SMALLEY
4526 FEDERAL AVE
EVERETT, WA 98203-2132
Phone number: 425-349-6200
Mailing Address
LARRY VERN SMALLEY
PO BOX 25533
FEDERAL WAY, WA 98093-2533
Phone number: 253-886-7762