Individual provider · NPI-1
Samantha R Billings
Contractor · Philadelphia, PA
NPI number1710452040
StatusActive
Last updated in NPPESOct 13, 2018
Details
- NPI
- 1710452040
- Entity type
- Individual (NPI-1)
- Name
- Miss Samantha R Billings
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 13, 2018
- Last updated
- Oct 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
220 S 47th StPhiladelphia, PA 19139-4426
Phone 215-666-3030
Mailing address
191 Jay DrYardley, PA 19067-3809
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