Individual
MISS SAMANTHA MARIE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1001 RUBY ST, ROME, NY 13440-2565
(315) 338-5360
(315) 334-7528
Mailing address
711 W THOMAS ST, ROME, NY 13440-3154
(315) 281-7841
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
804401
NY
Other
Enumeration date
03/13/2022
Last updated
03/13/2022
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