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Individual

SAMALA J PENALVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
202 N DIVISION ST STE 300, AUBURN, WA 98001-4939
(253) 876-7990
Mailing address
202 N DIVISION ST STE 300, AUBURN, WA 98001-4939
(253) 876-7990

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60370850
WA
363LW0102X
Women's Health Nurse Practitioner
420949
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
AP60370850
WA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
AP60370850
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03398510
NY
Enumeration date
09/11/2009
Last updated
10/30/2013
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