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Samantha Rose Blust
Student in an Organized Health Care Education/Training Program in Kingsley, Michigan
NPI 1295311553

Samantha Rose Blust is a Student in an Organized Health Care Education/Training Program based in Tawas City, MI. Samantha Rose Blust practices in Kingsley, MI. The NPI Number for Samantha Rose Blust is 1295311553 and holds a License No. (Michigan).

The current practice location address for Samantha Rose Blust is 4040 Beacon St, Kingsley, MI and can be reached out via phone at 231-263-1350.

Location: 4040 Beacon St, Kingsley, MI, 48763-9224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295311553
Provider Name
Samantha Rose Blust
Credential
Provider Entity Type
Individual
Gender
Female
Address
4040 Beacon St, Kingsley, MI, 48763-9224
Phone Number
231-263-1350
Fax Number
Provider Enumeration Date
03/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4040 Beacon St
City
Kingsley
State
Michigan
Zip
49649-9548
Phone Number
231-263-1350
Fax Number
person
Provider Business Mailing Address Details
Address
4040 Beacon St
City
Kingsley
State
Michigan
Zip
49649-9548
Phone Number
231-263-1350
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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