Individual
SAMANTHA SIDUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7455 W WASHINGTON AVE STE 302, LAS VEGAS, NV 89128-4340
(855) 864-4322
Mailing address
3000 HILLSBORO PIKE APT 45, NASHVILLE, TN 37215-1315
(732) 977-6975
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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