NPI 1215417605

Samantha Clos

Practitioner Student in an Organized Health Care Education/Training Program Victoria, MN

Practice location

Address: 1772 Stieger Lake Ln, Victoria, MN 55386-7723
Phone: (952) 443-4600
Fax: (952) 443-4604

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Minnesota →

Registry record

NPI: 1215417605
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Aug 2018
Record last updated: 15 Aug 2018

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.