Individual
SAMANTHA RENEE RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1140 COLLEGE DR, PINEVILLE, LA 71360-5122
(817) 933-8471
Mailing address
629 LINDA CT, JOSHUA, TX 76058-3086
(817) 933-8471
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
303566
LA
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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