Individual
SAMANTHA J BELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5411 S 76TH ST, GREENDALE, WI 53129-1130
(414) 423-7800
Mailing address
510 W NEWHALL AVE APT 2, WAUKESHA, WI 53186-5975
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1629-60
WI
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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