Individual
SAMARIA S JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
76 SEATTLE TRL, PALM COAST, FL 32164-5530
(386) 627-2066
Mailing address
76 SEATTLE TRL, PALM COAST, FL 32164-5530
(386) 627-2066
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
RN9376787
FL
314000000X
Skilled Nursing Facility
RN9376787
FL
Other
Enumeration date
03/27/2013
Last updated
08/08/2024
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