| Samantha Ross, Llc | |
|
5257 Buckeystown Pike Ste 300 Frederick MD 21704-7535 | |
| (240) 285-9624 | |
| Not Available |
| Full Name | Samantha Ross, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5257 Buckeystown Pike, Frederick, Maryland |
| Authorized Official Name and Position | Samantha Ross (OWNER) |
| Authorized Official Contact | 2402859624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Ross, Llc 5257 Buckeystown Pike Ste 300 Frederick MD 21704-7535 Ph: (240) 285-9624 | Samantha Ross, Llc 5257 Buckeystown Pike Ste 300 Frederick MD 21704-7535 Ph: (240) 285-9624 |
| NPI Number | 1497368666 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497368666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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