Individual
SAMANTHA MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1152 TOWNSVIEW PL, WOOSTER, OH 44691-4194
(330) 466-4783
Mailing address
1152 TOWNSVIEW PL, WOOSTER, OH 44691-4194
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
400712340108
OH
376K00000X
Nurse's Aide
Primary
400712340708
OH
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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