Individual
SAMANTHA RAQUEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
225 GRANDVIEW AVE STE 302, CAMP HILL, PA 17011-1729
(717) 988-9015
Mailing address
225 GRANDVIEW AVE STE 302, CAMP HILL, PA 17011-1729
(717) 988-9015
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MW010519
PA
Other
Enumeration date
03/13/2019
Last updated
03/29/2024
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