SAMANTHA WOMELDORFF

BATON ROUGE, LA
NPI1457755340
Former NameSAMANTHA PHILLIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA.200776)
Enumeration Date2014-10-21
Last Update Date2014-10-21
Business Address
-- SAMANTHA WOMELDORFF PA-C
5000 HENNESSY BLVD
BATON ROUGE, LA 70808-4375
Phone number: 225-765-6565
Mailing Address
-- SAMANTHA WOMELDORFF PA-C
6136 PELICAN CROSSING DR
GONZALES, LA 70737-8616
Phone number: 440-223-5227
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