Individual
ADAN S SAMANTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2942 N 24TH ST STE 114, PHOENIX, AZ 85016-7849
(602) 877-9355
Mailing address
PO BOX 64851, PHOENIX, AZ 85082-4851
(480) 278-1079
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LCR-220580-15454
AZ
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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