Individual
MS. SAMANTHA DIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
15853 WORMER, REDFORD, MI 48239-3546
(313) 784-8495
Mailing address
15853 WORMER, REDFORD, MI 48239-3546
(313) 784-8495
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703111536
MI
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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