Individual
DEBRA SAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
755 VANDERCOOK WAY STE 101A, LONGVIEW, WA 98632-4050
(360) 577-0294
(360) 577-2635
Mailing address
755 VANDERCOOK WAY STE 101A, LONGVIEW, WA 98632-4050
(360) 577-0294
(360) 577-2635
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60574639
WA
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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