Individual
SAMANTHA L LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 GRANDVIEW BLVD APT B115, GAYLORD, MI 49735-2043
(989) 350-1385
Mailing address
120 GRANDVIEW BLVD APT B115, GAYLORD, MI 49735-2043
(989) 350-1385
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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