Individual
CAROLYN ROSE SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DEM
Contact information
Practice address
17853 SW MEADOWLARK RD, ROSE HILL, KS 67133-8186
(308) 325-4983
Mailing address
10706 743 RD, LOOMIS, NE 68958-5825
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
—
—
Other
Enumeration date
12/20/2020
Last updated
12/20/2020
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