SAMANTHA BALLAS

PROVIDENCE, RI
NPI1770172314
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI  LP06882)
Enumeration Date2021-01-17
Last Update Date2026-05-12
Business Address
SAMANTHA BALLAS
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-793-2695
Mailing Address
SAMANTHA BALLAS
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-793-2695
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