Individual
SAMA AZEEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
849 KELLOGG AVE, JANESVILLE, WI 53546-2808
(815) 971-3314
Mailing address
5435 S MCCREEDY AVE, CUDAHY, WI 53110-2224
(414) 788-5768
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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