Individual
MISS SAMANTHA WOOLSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
526 W ROOSEVELT ST, APT. # 16, PHOENIX, AZ 85003-1330
(928) 451-0454
Mailing address
526 W ROOSEVELT ST, APT. # 16, PHOENIX, AZ 85003-1330
(928) 451-0454
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN183545
AZ
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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