Individual
SAMANTHA JOY MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
26920 PIONEER HWY, STANWOOD, WA 98292-9548
(360) 629-1260
Mailing address
26920 PIONEER HWY, STANWOOD, WA 98292-9548
(360) 629-1260
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00162680
WA
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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