SAMANTHA SARA ROTH

PROVO, UT
NPI1770191553
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2020-07-17
Last Update Date2023-03-28
Business Address
SAMANTHA SARA ROTH
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 013-734-7608
Mailing Address
SAMANTHA SARA ROTH
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 013-734-7608
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