SAMANTHA ASHLEY WARD

PEORIA, IL
NPI1174104954
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IL  036170849)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-14
Last Update Date2024-10-17
Business Address
SAMANTHA ASHLEY WARD DO
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 413-770-2133
Mailing Address
SAMANTHA ASHLEY WARD DO
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000