Individual
SAMANTHA ANNE CHAMPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
83 MAIN ST # 3516, DURHAM, NH 03824-2538
(570) 369-8481
Mailing address
83 MAIN ST # 3516, DURHAM, NH 03824-2538
(570) 369-8481
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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