Samantha Street is a student in an organized health care education training program in Superior, WI. The provider is 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. Samantha Street NPI is 1083323018. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1224 HUGHITT AVE
SUPERIOR, WI
ZIP 54880-632
Phone: (763) 274-9444
The enumeration date for this NPI number is 11/17/2022 and was last updated on 11/17/2022.