Individual
JUSTINE M SAMANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
128 W WASHINGTON ST, NANTICOKE, PA 18634-3113
(570) 735-3300
(570) 735-1879
Mailing address
610 WYOMING AVE, KINGSTON, PA 18704-3702
(570) 288-5441
(570) 288-5842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA002227
PA
Other
Enumeration date
10/05/2007
Last updated
10/19/2007
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