Individual
MS. SAMANTHA NICOLE GENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
620 DAVIS DR, NEW TAZEWELL, TN 37825-2152
(423) 626-4291
(423) 626-2525
Mailing address
2006 HIGHWAY 113, WHITESBURG, TN 37891-2213
(423) 307-0089
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00173136
TN
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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