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Jordan Samaha

NPI 1497399984 · on the registry since 2019 · sole proprietor

Practice

Address
13500 Highway 90
Boutte, LA 70039
Phone
(985) 331-1886
Organisation at this address
Walgreens
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Additional practice sites

  • 150 Loupe St, Luling, LA

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
VA, LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-02-06

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