Individual
MS. SAMANTHA MARIE VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2147 MOOREHOUSE, FERNDALE, MI 48220
(248) 862-4389
Mailing address
2147 MOORHOUSE ST, FERNDALE, MI 48220-1157
(248) 862-4389
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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