Individual
SAMARA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EAMP, LAC, LMP
Contact information
Practice address
4206 STONE WAY N, SEATTLE, WA 98103-7431
(206) 395-9796
Mailing address
413 NE 70TH ST UNIT 328, SEATTLE, WA 98115-5486
(206) 395-9796
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60503724
WA
225700000X
Massage Therapist
MA60461701
WA
Other
Enumeration date
09/18/2014
Last updated
09/29/2014
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