Individual
SAMANTHA ROSE BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5518 THIMBLEBERRY LOOP, HELENA, MT 59602-8012
(406) 210-7378
Mailing address
5518 THIMBLEBERRY LOOP, HELENA, MT 59602-8012
(406) 210-7378
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6137
MT
Other
Enumeration date
12/18/2019
Last updated
08/16/2022
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