Individual
MRS. SAMANTHA MARIE HAEFFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7511 N HONEYSUCKLE CT, BRIMFIELD, IL 61517-8700
(309) 446-9890
Mailing address
7511 N HONEYSUCKLE CT, BRIMFIELD, IL 61517-8700
(309) 446-9890
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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