Individual
MS. SAMANTHA VICTORIA D'ANDREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
550 17TH AVE STE 540, SEATTLE, WA 98122-4470
(206) 386-3880
(206) 386-3882
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA60840322
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740777275
—
WA
Enumeration date
04/19/2018
Last updated
12/30/2019
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