Samantha Irene Boggs, LPN

NPI #1003268863 in Bay Shore, New York

Provider Information

NPI Number
1003268863
Entity Type
Individual
Name
Samantha Irene Boggs, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Adult Day Care
Credential
LPN
Enumeration Date
Jul 5, 2016
Last Updated
Jul 5, 2016

Practice Location

Address
31 CHRIS MATT CT
ZIP Code
11706-6731
Phone
(631) 968-9196

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Day CareAdult Day Care

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