Individual
SAMANTHA JEAN MCANINCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
904 S 13TH AVE, OZARK, MO 65721-9318
(708) 522-2869
Mailing address
904 S 13TH AVE, OZARK, MO 65721-9318
(708) 522-2869
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2024027168
MO
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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