Individual
MRS. SAMANTHA MARIE KEESEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
124 SALISBURY ST, SANDY CREEK, NY 13145-7706
(315) 387-3445
Mailing address
124 SALISBURY ST, SANDY CREEK, NY 13145-7706
(315) 387-3445
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
685998-1
NY
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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