Individual
SAMANTHA HUSTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-7761
(402) 659-3927
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(402) 659-3927
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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