Individual
SAMANTHA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 S PINE ST, DERIDDER, LA 70634-4939
(337) 463-9890
Mailing address
501 S PINE ST, DERIDDER, LA 70634-4939
(337) 463-9890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214147
LA
Other
Enumeration date
07/27/2020
Last updated
01/04/2023
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