Samantha S Self
Samantha S Self is a Student in an Organized Health Care Education/Training Program in Mount Vernon, Washington. Licensed in Washington. Registered with an NPI since 2024.
- Licensed in
- WA
- In the registry since
- 2024
Practice location Address checks out
1420 Roosevelt Ave Ste 2Mount Vernon, WA 98273-2687
Phone: (360) 939-1450
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (WA) |
|---|
Record details
| NPI number | 1982423208 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 3, 2024 |
| Last updated in NPPES | June 19, 2026 |
| Certification date | June 19, 2026 |
| Mailing address | 1420 Roosevelt Ave Ste 2, Mount Vernon, WA 98273-2687 |
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