Individual
SAMANTHA RENEE BASOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
3738 257TH AVE SE, SAMMAMISH, WA 98029-5726
(206) 251-9064
Mailing address
3738 257TH AVE SE, SAMMAMISH, WA 98029-5726
(206) 251-9064
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60472310
WA
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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