Individual
MRS. SAMANTHA RAE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
179 COUNTY ROUTE 64, MEXICO, NY 13114
(319) 963-4288
(315) 963-4316
Mailing address
179 COUNTY ROUTE 64, MEXICO, NY 13114
(319) 963-4288
(315) 963-4316
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
705274
NY
Other
Enumeration date
03/08/2018
Last updated
03/31/2020
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