Individual
SAMUEL FARNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMA
Contact information
Practice address
118 E 8TH ST, PORT ANGELES, WA 98362-6129
(360) 457-0431
Mailing address
118 E 8TH ST, PORT ANGELES, WA 98362-6129
(360) 457-0431
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
CM60868753
WA
Other
Enumeration date
04/24/2023
Last updated
04/25/2023
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