person
Samantha Illsley
Technician/Technologist in Saint Cloud, Minnesota
NPI 1083380653

Samantha Illsley is a Technician/Technologist based in Saint Cloud, MN. Samantha Illsley practices in Saint Cloud, MN. The NPI Number for Samantha Illsley is 1083380653 and holds a License No. (Minnesota).

The current practice location address for Samantha Illsley is 141 33Rd Ave S, Saint Cloud, MN and can be reached out via phone at 320-443-6250.

Location: 141 33Rd Ave S, Saint Cloud, MN, 56301-3753
person
Provider Profile Details
NPI Number
1083380653
Provider Name
Samantha Illsley
Credential
Provider Entity Type
Individual
Gender
Female
Address
141 33Rd Ave S, Saint Cloud, MN, 56301-3753
Phone Number
320-443-6250
Fax Number
Provider Enumeration Date
08/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
141 33Rd Ave S
City
State
Zip
56301-3753
Phone Number
320-443-6250
Fax Number
person
Provider Business Mailing Address Details
Address
141 33Rd Ave S
City
State
Zip
56301-3753
Phone Number
320-443-6250
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
License No.
()
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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