Individual
ANNIE SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
GME, P.O. BOX 1980, NORFOLK, VA 23501
(757) 523-0414
Mailing address
PO BOX 1980, NORFOLK, VA 23501-1980
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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