Individual
HALEY QUINN SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1910 SHAFFER ST, KALAMAZOO, MI 49048-1604
(269) 382-9820
Mailing address
2925 CRESTVIEW AVE, KALAMAZOO, MI 49006-2914
(269) 779-8627
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704330360
MI
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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