Individual
SAMANTHA AXTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6135 HILLANDALE RD, DAVENPORT, IA 52806-2796
(720) 443-7536
Mailing address
6135 HILLANDALE RD, DAVENPORT, IA 52806-2796
(720) 443-7536
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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