Individual
MS. KAREN MARIE SAMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9930 EVERGREEN WAY, EVERETT, WA 98204-3883
(425) 347-5121
Mailing address
19828 WHITMAN PL N, SHORELINE, WA 98133-3549
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60081565
WA
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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