Individual
SAMANTHA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3631 EDISON RD STE 2, SOUTH BEND, IN 46615-3715
(574) 855-1084
Mailing address
1801 WATERMARK DR, COLUMBUS, OH 43215-7088
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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