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Samantha Riser
Student in an Organized Health Care Education/Training Program in Lucedale, Mississippi
NPI 1487049102

Samantha Riser is a Student in an Organized Health Care Education/Training Program based in Lucedale, MS. Samantha Riser practices in Lucedale, MS. The NPI Number for Samantha Riser is 1487049102 and holds a License No. S10740 (Mississippi).

The current practice location address for Samantha Riser is 5199 Main St, Lucedale, MS and can be reached out via phone at 601-947-8168.

Location: 5199 Main St, Lucedale, MS, 39452-6542
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487049102
Provider Name
Samantha Riser
Credential
Provider Entity Type
Individual
Gender
Female
Address
5199 Main St, Lucedale, MS, 39452-6542
Phone Number
601-947-8168
Fax Number
Provider Enumeration Date
03/31/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5199 Main St
City
Lucedale
State
Mississippi
Zip
39452-6542
Phone Number
601-947-8168
Fax Number
person
Provider Business Mailing Address Details
Address
5199 Main St
City
Lucedale
State
Mississippi
Zip
39452-6542
Phone Number
601-947-8168
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.
S10740 (Alabama)
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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