Individual
SAMANTHA DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23236 PORT ST, SAINT CLAIR SHORES, MI 48082-2095
(586) 996-9930
Mailing address
23236 PORT ST, SAINT CLAIR SHORES, MI 48082-2095
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704353324
MI
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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