Individual
SAMARA DANIELLE FANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
942 CAMERON AVE, YOUNGSTOWN, OH 44502-2104
(330) 507-3614
Mailing address
942 CAMERON AVE, YOUNGSTOWN, OH 44502-2104
(330) 507-3614
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
OH
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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