Individual
SAMANTHA JO DATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N8273 E FRIESLAND RD, RANDOLPH, WI 53956-9407
(920) 296-7067
Mailing address
N8273 E FRIESLAND RD, RANDOLPH, WI 53956-9407
(920) 296-7067
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
325608
WI
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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