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Individual
MRS. SUZANNE FALLON SAMUELS
Active
Individual
MRS. SUZANNE FALLON SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
583477
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
15059
CA
364SP0200X
Pediatric Clinical Nurse Specialist
2117
CA
Other
Enumeration date
11/22/2006
Last updated
09/11/2025
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