SAMANTHA RAE NOVEMBER

FAIRFIELD, CT
NPI1912535345
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT  001240)
Enumeration Date2020-03-31
Last Update Date2020-03-31
Business Address
SAMANTHA RAE NOVEMBER ATC, LAT
5151 PARK AVE
FAIRFIELD, CT 06825-1090
Phone number: 203-396-8109
Mailing Address
SAMANTHA RAE NOVEMBER ATC, LAT
5036 MAIN ST
TRUMBULL, CT 06611-4712
Phone number:
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