Individual
SAMANTHA PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1757 JULIET AVE, SAINT PAUL, MN 55105-2122
(651) 888-0773
Mailing address
1757 JULIET AVE, SAINT PAUL, MN 55105-2122
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2461964
MN
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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