Individual
SAMANTHA JOANN HAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
4514 NE103RD ST, VANCOUVER, WA 98686-5997
(360) 521-1460
Mailing address
4514 NE103RD ST, VANCOUVER, WA 98686-5997
(360) 521-1460
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0005436
OR
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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