Individual
SAMANTHA WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2236 WOODWARD AVE, LAKEWOOD, OH 44107-5735
(440) 823-9774
Mailing address
2236 WOODWARD AVE, LAKEWOOD, OH 44107-5735
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/24/2014
Last updated
08/24/2014
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