Individual
JADE RAY SAMANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(573) 579-2422
Mailing address
1163 BENTON WAY, ARDEN HILLS, MN 55112-3753
(319) 384-7620
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IA
Other
Enumeration date
04/06/2026
Last updated
04/08/2026
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