Individual
SAMANTHA FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 TREVOR CT, MANCHESTER, CT 06040-5654
(860) 899-7537
Mailing address
10 TREVOR CT, MANCHESTER, CT 06040-5654
(860) 899-7537
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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