Heidi Joy Sam, MASSAGE PRACTITIONER

NPI #1316146657 in Omak, Washington

Provider Information

NPI Number: 1316146657
Entity Type: Individual
Name: Heidi Joy Sam, MASSAGE PRACTITIONER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MASSAGE PRACTITIONER
Enumeration Date: Jul 17, 2007
Last Updated: Jul 17, 2007

Practice Location

Address: 130 NORTH MAIN STREET
City: Omak
State: Washington
ZIP Code: 98841
Phone: (509) 322-4536

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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