Individual
SAMANTHA MINTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13973 FARMINGTON RD, LIVONIA, MI 48154-5403
(248) 621-4792
Mailing address
2667 PACKARD ST, ANN ARBOR, MI 48104-6830
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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