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Samantha Street
Student in an Organized Health Care Education/Training Program in Superior, Wisconsin
NPI 1083323018

Samantha Street is a Student in an Organized Health Care Education/Training Program based in Superior, WI. Samantha Street practices in Superior, WI. The NPI Number for Samantha Street is 1083323018 and holds a License No. (Wisconsin).

The current practice location address for Samantha Street is 1224 Hughitt Ave, Superior, WI and can be reached out via phone at 763-274-9444.

Location: 1224 Hughitt Ave, Superior, WI, 54880-1632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083323018
Provider Name
Samantha Street
Credential
Provider Entity Type
Individual
Gender
Female
Address
1224 Hughitt Ave, Superior, WI, 54880-1632
Phone Number
763-274-9444
Fax Number
Provider Enumeration Date
11/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1224 Hughitt Ave
City
Superior
State
Wisconsin
Zip
54880-1632
Phone Number
763-274-9444
Fax Number
person
Provider Business Mailing Address Details
Address
1224 Hughitt Ave
City
Superior
State
Wisconsin
Zip
54880-1632
Phone Number
763-274-9444
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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