Provider Demographics
NPI:1710726617
Name:SAMSON, LAURA SALVADOR
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:SALVADOR
Last Name:SAMSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BRUECKENSTRASSE 34
Mailing Address - Street 2:
Mailing Address - City:FRANKFURT
Mailing Address - State:HESSEN
Mailing Address - Zip Code:60594
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:BRUECKENSTRASSE 34
Practice Address - Street 2:
Practice Address - City:FRANKFURT
Practice Address - State:HESSEN
Practice Address - Zip Code:60594
Practice Address - Country:DE
Practice Address - Phone:179-508-9315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach