Search › Louisiana › 374U00000X
Samantha Modisette
NPI 1669195996 · on the registry since 2022 · sole proprietor
Practice
- Address
- 2114 Baucum Pl
Haynesville, LA 71038 - Phone
- (318) 433-1419
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Female
- Record last updated
- 2022-09-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana