Individual
SAMANTHA MARIE MADDIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2152 S HURSTBOURNE PKWY, LOUISVILLE, KY 40220-1622
(502) 499-0107
Mailing address
342 CARRIAGE TRACE CT, TAYLORSVILLE, KY 40071-7915
(502) 422-1382
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
KY
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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