Individual
TINA MARIE SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
174 COLLIER RD, DEBORD, KY 41214-9029
(304) 733-1094
Mailing address
174 COLLIER RD, DEBORD, KY 41214-9029
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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