SAMANTHA MAMMEN CARSON

TACOMA, WA
NPI1982105318
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: WI  72030-20)
Enumeration Date2018-02-21
Last Update Date2023-08-04
Business Address
SAMANTHA MAMMEN CARSON
9040 JACKSON AVE
TACOMA, WA 98431-5001
Phone number: 253-968-2252
Mailing Address
SAMANTHA MAMMEN CARSON
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: