JENESIS SAMUELS

Driver

Active Individual
NPI: 1396340741

Practice Address

200 BRADDOCK ST
Fairmont, WV 26554

Phone: (304) 534-0538

Specialties

Specialty Code Primary License
Driver 172A00000X Yes -

Frequently Asked Questions

NPI 1396340741 is the National Provider Identifier for JENESIS SAMUELS, a Driver provider located in Fairmont, WV. This NPI was enumerated on December 3, 2020.
JENESIS SAMUELS practices at 200 BRADDOCK ST, Fairmont, WV 26554.

Quick Facts

NPI
1396340741
Type
Individual
Enumerated
Dec 3, 2020
Last Updated
Dec 3, 2020

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