Samantha Ann Park
NPI #1134989866 in Bismarck, North Dakota
Provider Information
- NPI Number
- 1134989866
- Entity Type
- Individual
- Name
- Samantha Ann Park
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Mar 20, 2024
- Last Updated
- Mar 20, 2024
Practice Location
- Address
- 1906 E BROADWAY AVE STE 1
- City
- Bismarck
- State
- North Dakota
- ZIP Code
- 58501-4740
- Phone
- (701) 415-6233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
| Peer Specialist |
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