Individual provider · Type 1 NPI

Teresa Samuelson

Student in an Organized Health Care Education/Training Program · Jamestown, NY

NPI number 1902154677 Active

Practice location

200 E 3rd St
Jamestown, NY 14701-5433

Call (716) 661-8330 Map

Fax (716) 753-4230

Mailing address

7 N Erie St
Mayville, NY 14757-1095

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1902154677

Teresa Samuelson's National Provider Identifier is 1902154677, issued on Aug 28, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jamestown, NY. The record was last updated on Aug 28, 2012.