Individual
SAMANTHA MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3026 FAIRMONT ST, FALLS CHURCH, VA 22042-1309
(571) 213-5852
Mailing address
3026 FAIRMONT ST, FALLS CHURCH, VA 22042-1309
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000005067
VA
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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