Individual
CHANTOL SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 OFFICE CENTER DR, SUITE 500, FORT WASHINGTON, PA 19034-3219
(267) 597-0167
Mailing address
500 OFFICE CENTER DR, SUITE 500, FORT WASHINGTON, PA 19034-3219
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
296233
PA
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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