Individual
SAMANTHA ELISE VAN ZANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 RAILWAY AVE., SEWARD, AK 99664
(907) 422-1011
Mailing address
PO BOX 2262, SEWARD, AK 99664-2262
(814) 651-3036
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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