Individual
SAMANTHA DANIELLE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1123 S DAVIS AVE, ELKINS, WV 26241-3529
(681) 378-3908
Mailing address
8 EL CAMINO DR, BUCKHANNON, WV 26201-6530
(304) 612-7514
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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