Samuel Abston
Student in an Organized Health Care Education/Training Program in Memphis, TN. Individual provider (NPI-1).
NPI number1396570859
StatusActive
Last updated in NPPESSep 4, 2024
Details
- NPI
- 1396570859
- Entity type
- Individual (NPI-1)
- Name
- Mr. Samuel Abston
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2024
- Certification date
- Sep 4, 2024
- Last updated
- Sep 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
874 Union Ave Rm 325Memphis, TN 38103-3514
Phone 901-448-6128
Mailing address
874 Union Ave Rm 325Memphis, TN 38103-3514
Phone 901-448-6128
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