Individual
MRS. SAMANTHA M JOANETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
71 MARGARET TERRANCE MEMORIAL WAY, AKWESASNE, NY 13655-3236
(518) 358-3145
Mailing address
404 STATE ROUTE 37, AKWESASNE, NY 13655
(518) 358-3145
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
707497
NY
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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