SAMANTHA FORMICA

LAFAYETTE, LA
NPI1205633203
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Enumeration Date2025-02-26
Last Update Date2025-02-26
Business Address
SAMANTHA FORMICA
655 MARIE ANTOINETTE ST APT 416
LAFAYETTE, LA 70506-8203
Phone number: 760-613-7548
Mailing Address
SAMANTHA FORMICA
655 MARIE ANTOINETTE ST APT 416
LAFAYETTE, LA 70506-8203
Phone number: 760-613-7548
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