Natasha Nicole Samuel

NPI #1619258043 in Las Vegas, Nevada

Provider Information

NPI Number: 1619258043
Entity Type: Individual
Name: Natasha Nicole Samuel
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Rehabilitation Practitioner
Enumeration Date: Aug 30, 2011
Last Updated: Aug 30, 2011

Practice Location

Address: 1104 OBSERVATION DR
Address 2: #101
City: Las Vegas
State: Nevada
ZIP Code: 89128-0901
Phone: (702) 834-2821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Practitioner	225400000X	Primary

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