Stanley Samuel

NPI #1285495622 in Brentwood, Missouri

Provider Information

NPI Number: 1285495622
Entity Type: Individual
Name: Stanley Samuel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 22, 2024
Last Updated: Jan 22, 2024

Practice Location

Address: 1251 STRASSNER DR UNIT 2308
City: Brentwood
State: Missouri
ZIP Code: 63144-1881
Phone: (214) 604-6708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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