Individual
SAMAKI SANDERS GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1401 N FOSTER DR, BATON ROUGE, LA 70806-1818
(225) 987-9000
Mailing address
1401 N FOSTER DR, BATON ROUGE, LA 70806-1818
(225) 987-9000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
104252-05602
LA
Other
Enumeration date
09/25/2008
Last updated
01/20/2009
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