Individual
GEORGE SAMANIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
369 BLANDING BLVD STE N23, ORANGE PARK, FL 32073-4394
(954) 693-6282
Mailing address
369 BLANDING BLVD STE N23, ORANGE PARK, FL 32073-4394
(954) 693-6282
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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