Individual
SAMANTHA BOLDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 315TH ST, SABETHA, KS 66534-9624
(402) 570-5832
Mailing address
105 315TH ST, SABETHA, KS 66534-9624
(402) 570-5832
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
KS
Other
Enumeration date
03/11/2016
Last updated
01/31/2020
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