Individual
SAMANTHA WETHERBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9227 N LAKE DR SW APT 2, LAKEWOOD, WA 98498-7302
(253) 375-2054
Mailing address
9227 N LAKE DR SW APT 2, LAKEWOOD, WA 98498-7302
(253) 375-2054
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
WA 60519852
WA
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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