Individual
MISS SAMANTHA JOLENE ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S, STE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
1104 CORLEY ST, LEXINGTON, SC 29072-2720
(803) 319-1671
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
190628602
UT
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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