Individual
SAMISHA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 W CALHOUN ST, DILLON, SC 29536-4014
(843) 627-3121
Mailing address
106 W CALHOUN ST, DILLON, SC 29536-4014
(843) 627-3121
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000X
NC
Other
Enumeration date
12/27/2023
Last updated
01/06/2024
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