Individual
SAMANTHA GRIGUTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1545 E 33RD AVE, HOBART, IN 46342-1209
(708) 845-1155
Mailing address
1545 E 33RD AVE, HOBART, IN 46342-1209
(708) 845-1155
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27073274A
IN
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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