Individual
MS. SAMANTHA NICOLE IZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 WINDWARD CT, SENOIA, GA 30276-2363
(631) 873-6235
Mailing address
40 WINDWARD CT, SENOIA, GA 30276-2363
(631) 873-6235
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/10/2019
Last updated
02/10/2019
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