NPI 1205370855

Samantha Hawley

Practitioner Contractor Brighton, MI

Practice location

Address: 73 Perch Street, Brighton, MI 48114
Phone: (810) 333-3104

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 7501009524 (MI)

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Registry record

NPI: 1205370855
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Dec 2016
Record last updated: 15 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.