Individual
SAMANTHA JOSEPHINE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 5TH AVE NE, OSSEO, MN 55369-1305
(612) 799-9621
Mailing address
17 5TH AVE NE, OSSEO, MN 55369-1305
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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