Individual
HARRICIA SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 13TH AVE S, JACKSONVILLE, FL 32250-3203
(904) 627-2900
Mailing address
811 HANDSWORTH LN APT 302, RALEIGH, NC 27607-5264
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
257121
NC
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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