Individual
SAMANTHA CAPOEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1505 KLA OOK WA DRIVE, TAHOLAH, WA 98587
(360) 276-4405
Mailing address
PO BOX 219, TAHOLAH, WA 98587-0219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61524137
WA
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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