Individual
SAMANTHA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5105 SOM CENTER RD STE 107, WILLOUGHBY, OH 44094-4203
(440) 953-5712
Mailing address
33448 VINE ST APT 205, WILLOWICK, OH 44095-3447
(440) 289-2983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005430RX
OH
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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