Individual
SAMANTHA LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 E TROPICANA AVE UNIT 253C, LAS VEGAS, NV 89119-6616
(520) 262-2012
Mailing address
1055 E TROPICANA AVE UNIT 253C, LAS VEGAS, NV 89119-6616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/07/2020
Last updated
03/07/2020
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