Individual
MRS. SAMANTHA LEAH SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-C
Contact information
Practice address
401 S 25TH ST, MOUNT VERNON, WA 98274-4772
(360) 399-3611
Mailing address
401 S 25TH ST, MOUNT VERNON, WA 98274-4772
(360) 399-3611
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
911180810
WA
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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