Individual
SAMANTHA LINA VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 AVENUE D, HOLBROOK, NY 11741-2333
(631) 672-3218
Mailing address
161 AVENUE D, HOLBROOK, NY 11741-2333
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
697660
NY
Other
Enumeration date
06/11/2024
Last updated
10/09/2024
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