Individual
SAMANTHA LASSOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 WILLIAMS AVE S, RENTON, WA 98057-5436
(805) 338-7038
Mailing address
110 WILLIAMS AVE S, RENTON, WA 98057-5436
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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