Individual
SAMANTHA AZMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 N 117TH ST, WAUWATOSA, WI 53226-2114
(262) 894-9109
Mailing address
2112 N 117TH ST, WAUWATOSA, WI 53226-2114
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
249050-30
WI
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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