Individual
SAMANTHA JO HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 MAYLAWN AVE, WADSWORTH, OH 44281-1264
(330) 410-5649
Mailing address
318 MAYLAWN AVE, WADSWORTH, OH 44281-1264
(330) 410-5649
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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