Individual
SAMANTHA HERBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 STONELEIGH RD, BALTIMORE, MD 21212-1646
(410) 825-4735
Mailing address
607 STONELEIGH RD, BALTIMORE, MD 21212-1646
(410) 825-4735
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005859
PA
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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