Most Relevant Information
Provider Data
| NPI Number: | 1003644493 |
| Provider Name: | SAMANTHA ANDREA DAKON |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/25/2024 |
| Last Updated: | 07/25/2024 |
Provider Practice Location
197 GIBSON ST
TUNNELTON
WV
264447793
Practice Location Phone/Fax
| Phone: | 3046983069 |
| Fax: |
Provider Mailing Location
197 GIBSON ST
TUNNELTON
WV
264447793
Provider Mailing Phone/Fax
| Phone: | 3046983069 |
| Fax: |