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Individual
JODI L SAMSON
Active
Individual
JODI L SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61247225
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA61247225
WASHINGTON STATE DEPARTMENT OF HEALTH LICENSE
WA
Enumeration date
03/16/2022
Last updated
03/16/2022
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