Individual
MRS. SAMANTHA IRENE TRIBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN60760189
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 397-8246
Mailing address
19508 NE 399TH ST, AMBOY, WA 98601-3234
(530) 643-3263
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60760189
WA
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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