Individual
SAMANTHA ROSE BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1602 HIGHWAY 23 N, SANDSTONE, MN 55072-5009
(320) 216-4150
(320) 216-4101
Mailing address
32430 STATE HIGHWAY 123, SANDSTONE, MN 55072-3059
(218) 341-8861
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MN
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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