Individual
SAMANTHA JAYNE KELLEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 RUCKER AVE STE 200, EVERETT, WA 98201-3900
(425) 339-3515
Mailing address
3020 RUCKER AVE STE 200, EVERETT, WA 98201-3900
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN60184530
WA
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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