Search › West Virginia › 172A00000X
Jenesis Samuels
NPI 1396340741 · on the registry since 2020
Practice
- Address
- 200 Braddock St
Fairmont, WV 26554 - Phone
- (304) 534-0538
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-03
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 West Virginia