Individual
SAMANTHA LEA CETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, SRNA
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
2020 VALLEY VIEW CIR APT 1106, BOSSIER CITY, LA 71111-4080
(985) 232-6362
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
207767
LA
Other
Enumeration date
07/20/2024
Last updated
07/20/2024
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