Individual
SAMANTHA ERDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-7900
(253) 968-1110
Mailing address
10400 S SHEPARD AVE, OAK CREEK, WI 53154-7900
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160894340
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Enumeration date
05/11/2017
Last updated
07/28/2022
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