Individual
MISS SAMANTHA RAYLYNN HOLMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 MAIN ST, SOURIS, ND 58783-9509
(507) 215-6181
Mailing address
201 MAIN ST, SOURIS, ND 58783-9509
(507) 215-6181
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
146372
ND
3747P1801X
Personal Care Attendant
Primary
—
ND
374U00000X
Home Health Aide
—
ND
Other
Enumeration date
05/15/2026
Last updated
05/26/2026
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