Individual
SAMRETH UN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
18205 ALDERWOOD MALL PKWY STE K, LYNNWOOD, WA 98037-3913
(425) 778-1188
Mailing address
18205 ALDERWOOD MALL PKWY STE K, LYNNWOOD, WA 98037-3913
(425) 778-1188
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
60238141
WA
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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