Individual
MECCA SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1828 S WHITE OAK CIR, WICHITA, KS 67207-5145
(202) 853-7959
Mailing address
1828 S WHITE OAK CIR, WICHITA, KS 67207-5145
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
1824
KS
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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