Individual
SAMANTHA WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, HHA
Contact information
Practice address
1551 NW 56TH ST, MIAMI, FL 33142-3145
(786) 309-5438
Mailing address
1551 NW 56TH ST, MIAMI, FL 33142-3145
(786) 309-5438
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
329397
NY
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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