SAMANTHA GAIL KODAK

CHARLESTON, SC
NPI1831947480
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WC0200X Registered Nurse, Critical Care Medicine
(Licence: NY  818754)
Enumeration Date2024-05-08
Last Update Date2024-05-08
Business Address
Ms. SAMANTHA GAIL KODAK RN, CCRN, SRNA
151 RUTLEDGE AVE BLDG A
CHARLESTON, SC 29425-8903
Phone number: 843-792-3328
Mailing Address
Ms. SAMANTHA GAIL KODAK RN, CCRN, SRNA
79 SHERMAN AVE
WEST ISLIP, NY 11795-3213
Phone number: 631-358-9496
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