Individual
SAMANTHA MARIE CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9555 SW 162ND AVE, MIAMI, FL 33196-6408
(754) 368-3101
Mailing address
15488 SW 110TH TER, MIAMI, FL 33196-2715
(754) 368-3101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9364834
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN9364834
—
FL
Enumeration date
01/18/2019
Last updated
01/18/2019
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