Individual
MRS. CHANDA BERNICE SAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
301 CEDAR ST, PINEVILLE, KY 40977-1403
(606) 269-7146
Mailing address
301 CEDAR ST, PINEVILLE, KY 40977-1403
(606) 269-7146
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
1000709494
KY
247100000X
Radiologic Technologist
—
—
Other
Enumeration date
02/06/2012
Last updated
04/11/2012
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