Individual
SAMANTHA MARIE RASOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
325 BRIARWOOD CIR, ANN ARBOR, MI 48108-1605
(888) 287-1082
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704290415
MI
Other
Enumeration date
04/05/2019
Last updated
11/30/2022
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