Individual
SAM BROSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
875 PERIMETER DR # MS 2401, MOSCOW, ID 83844-9803
(206) 335-6098
Mailing address
13022 15TH AVE NE, SEATTLE, WA 98125-4017
(206) 335-6098
(206) 335-6098
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
ID
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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