Individual
MRS. MANITA G SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EAMP LAC
Contact information
Practice address
17022 NE 100TH PL, REDMOND, WA 98052-3177
(425) 242-0853
Mailing address
17022 NE 100TH PL, REDMOND, WA 98052-3177
(425) 242-0853
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 60447864
WA
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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