Individual
SAMANTHA ELAINE TINNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 BROAD ST, SUMMERSVILLE, WV 26651-1805
(304) 872-1162
Mailing address
1205 BROAD ST, SUMMERSVILLE, WV 26651-1805
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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