Individual
SAMANTHA CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
313 S 5TH ST, ODESSA, DE 19730-2078
(302) 378-5023
Mailing address
313 S 5TH ST, ODESSA, DE 19730-2078
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
108879
DE
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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