SAMANTHA LANE SHOOPMAN

TACOMA, WA
NPI1235802273
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL  11008245)
Enumeration Date2021-07-27
Last Update Date2023-09-21
Business Address
SAMANTHA LANE SHOOPMAN ARNP
509 N YAKIMA AVE APT 105
TACOMA, WA 98403-2316
Phone number: 407-579-1221
Mailing Address
SAMANTHA LANE SHOOPMAN ARNP
509 N YAKIMA AVE APT 105
TACOMA, WA 98403-2316
Phone number: 407-579-1221