Individual
SAMANTHA LAMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 PARISH FARM RD, BRANFORD, CT 06405-6025
(860) 304-8460
Mailing address
44 PARISH FARM RD, BRANFORD, CT 06405-6025
(860) 304-8460
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
120046
CT
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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