Individual provider · Type 1 NPI

Samantha Dutra

Other Technician · Birch Run, MI

NPI number 1104274018 Active

Practice location

11908 Silver Creek Dr Apt 11
Birch Run, MI 48415-9755

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1104274018

Samantha Dutra's National Provider Identifier is 1104274018, issued on Jun 1, 2016. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Birch Run, MI. The record was last updated on Jun 1, 2016.