# ROXANNE SERVICES KOLSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1639813918
- **Gender:** F
- **Credential:** CCP, LP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 242T00000X | Perfusionist | 0000123 | TX | — |
| 242T00000X | Perfusionist | 000067 | CT | — |
| 242T00000X | Perfusionist | 000350 | NY | — |
| 242T00000X | Perfusionist | 100000117 | NC | Yes |
| 242T00000X | Perfusionist | 178 | GA | — |
| 242T00000X | Perfusionist | 2006034698 | MO | — |
| 242T00000X | Perfusionist | 25M10010700 | NJ | — |
| 242T00000X | Perfusionist | — | NULL | — |

## Other

- **Enumeration date:** 04/23/2022
- **Last updated:** 04/23/2022