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Individual

MRS. SAMANTHA A ROSE

Active
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Individual

MRS. SAMANTHA A ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
13153
OR
225700000X
Massage Therapist
Primary
13153
OR
247000000X
Health Information Technician
00031783
OR
247000000X
Health Information Technician
31783
OR

Other

Enumeration date
03/03/2009
Last updated
06/17/2014
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