Individual
MS. DELORES MARIE SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
515 SHOSHONE CIR, ELKO, NV 89801-5072
(775) 738-2252
(775) 738-4219
Mailing address
515 SHOSHONE CIR, ELKO, NV 89801-5072
(775) 738-2252
(775) 738-4219
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
CNA018155
NV
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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