Individual
SAMANTHA JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
330 EVANS ST, LEAVENWORTH, WA 98826-1244
(509) 433-0017
Mailing address
330 EVANS ST, LEAVENWORTH, WA 98826-1244
(509) 433-0017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
00132628
WA
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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