Individual
SAMANTHA JEWEL BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504-0649
(870) 844-1506
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(870) 844-1506
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
RCP-4148
AR
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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