Provider Demographics
NPI:1568292167
Name:SAMS, ROXI G
Entity type:Individual
Prefix:
First Name:ROXI
Middle Name:G
Last Name:SAMS
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 1:409 BRELSFORD AVE
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:OH
Mailing Address - Zip Code:45067-1105
Mailing Address - Country:US
Mailing Address - Phone:937-622-3553
Mailing Address - Fax:
Practice Address - Street 1:409 BRELSFORD AVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:OH
Practice Address - Zip Code:45067-1105
Practice Address - Country:US
Practice Address - Phone:937-622-3553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant