Janie Mae Samuel

NPI #1417697186 in Lithonia, Georgia

Provider Information

NPI Number: 1417697186
Entity Type: Individual
Name: Janie Mae Samuel
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Private Vehicle
Enumeration Date: Mar 31, 2022
Last Updated: Mar 31, 2022

Practice Location

Address: 7177 SWEET GUM CT
City: Lithonia
State: Georgia
ZIP Code: 30058-2993
Phone: (770) 572-9842

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary

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