Individual
SAMANTHA TAYLOR KUBOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
901 HIAWATHA PL S UNIT 200, SEATTLE, WA 98144-2874
(925) 640-9749
Mailing address
901 HIAWATHA PL S UNIT 200, SEATTLE, WA 98144-2874
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61070158
WA
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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