Most Relevant Information
Provider Data
| NPI Number: | 1003381377 |
| Provider Name: | ANDREA LYNNETTE SAMUELS D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 03945 |
Most Important Dates
| Enumeration Date: | 10/12/2018 |
| Last Updated: | 07/12/2024 |
Provider Practice Location
6340 SECURITY BLVD # A-20
GWYNN OAK
MD
212075173
Practice Location Phone/Fax
| Phone: | 4436135259 |
| Fax: |
Provider Mailing Location
5226 HILLWELL RD
BALTIMORE
MD
212293225
Provider Mailing Phone/Fax
| Phone: | 4436135259 |
| Fax: |