Individual
SAMARA DAEVA JOY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
15 ROYCE DR, CHURCHVILLE, NY 14428-8900
(716) 986-3193
Mailing address
15 ROYCE DR, CHURCHVILLE, NY 14428-8900
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2773
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/11/2019
Last updated
07/10/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us