Individual
MARIAM SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
PO BOX 980257, RICHMOND, VA 23298-0257
(804) 828-8786
Mailing address
PO BOX 980257, RICHMOND, VA 23298-0257
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
04/09/2025
Last updated
04/28/2025
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