Samantha Jo Dates
NPI #1538767355 in Randolph, Wisconsin
Provider Information
- NPI Number
- 1538767355
- Entity Type
- Individual
- Name
- Samantha Jo Dates
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Oct 14, 2020
- Last Updated
- Oct 14, 2020
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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