Individual
SAMANTHA J ROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11531 SUNDERLAND RD, MARION, IL 62959-8274
(618) 964-5139
Mailing address
PO BOX 2944, CARBONDALE, IL 62902-2944
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.127497
IL
Other
Enumeration date
11/16/2019
Last updated
11/16/2019
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