SAMANTHA MADISON GUSTAFSON

NEWPORT, WA
NPI1376262246
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WA  PA61488948)
Enumeration Date2022-08-24
Last Update Date2024-06-10
Business Address
SAMANTHA MADISON GUSTAFSON PAC
714 W PINE ST BLDG C
NEWPORT, WA 99156-9046
Phone number: 509-447-3139
Mailing Address
SAMANTHA MADISON GUSTAFSON PAC
714 W PINE ST
NEWPORT, WA 99156-9046
Phone number: 509-447-3139