Individual
SAMANTHA CORINNE HAVERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10530 19TH AVE SE STE 201, EVERETT, WA 98208-4282
(425) 357-1790
Mailing address
10530 19TH AVE SE STE 201, EVERETT, WA 98208-4282
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.LP.61548473
WA
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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