Individual
SAMANTHA JO COLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27855 TINKERS VALLEY DR, SOLON, OH 44139-2161
(330) 718-5316
Mailing address
27855 TINKERS VALLEY DR, SOLON, OH 44139-2161
(330) 718-5316
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
404972
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
0028584
OH
Other
Enumeration date
11/11/2020
Last updated
07/22/2021
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