Samantha Modisette
NPI #1669195996 in Haynesville, Louisiana
Provider Information
- NPI Number
- 1669195996
- Entity Type
- Individual
- Name
- Samantha Modisette
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health Aide
- Enumeration Date
- Sep 21, 2022
- Last Updated
- Sep 21, 2022
Practice Location
- Address
- 2114 BAUCUM PL
- City
- Haynesville
- State
- Louisiana
- ZIP Code
- 71038-5613
- Phone
- (318) 433-1419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health Aide |
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