SAMANTHA JOSEFINE MOANA BRODEHL

VANCOUVER, WA
NPI1346654050
Former NameSAMANTHA DUARTE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2865M2000X Military Hospital, Military General Acute Care Hospital
Enumeration Date2014-06-20
Last Update Date2014-06-20
Business Address
-- SAMANTHA JOSEFINE MOANA BRODEHL
1601 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661-3753
Phone number: 360-696-4061
Mailing Address
-- SAMANTHA JOSEFINE MOANA BRODEHL
217 NE 68TH ST
VANCOUVER, WA 98665-8623
Phone number: 360-823-3562