Individual
SAMSON AMUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3024 SHADY HOLLOW CIR, CHESTER, VA 23831-5233
(804) 547-6231
Mailing address
3024 SHADY HOLLOW CIR, CHESTER, VA 23831-5233
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
873728010
—
VA
Enumeration date
03/10/2022
Last updated
03/10/2022
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