Individual
DANIEL SAMANIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1262 STATE AVE, MARYSVILLE, WA 98270-3658
(360) 651-7450
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(424) 525-8390
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0001964
WA
Other
Enumeration date
11/06/2006
Last updated
03/01/2013
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