SAMANTHA LYNN LANE

CLAY, WV
NPI1720753890
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2021-08-11
Last Update Date2022-05-20
Business Address
SAMANTHA LYNN LANE
15 BANK ST
CLAY, WV 25043
Phone number: 304-587-9992
Mailing Address
SAMANTHA LYNN LANE
10267 IVYDALE RD
IVYDALE, WV 25113-8348
Phone number: 304-441-7300
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