Individual
MS. SAMANTHA KATHLEEN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 NE 20TH ST, OKLAHOMA CITY, OK 73105-8211
(405) 831-3915
Mailing address
925 NE 20TH ST, OKLAHOMA CITY, OK 73105-8211
(405) 831-3915
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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