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Individual

CONETTE LAMOGLIA SAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AA

Contact information

Practice address
707 CIVIC CENTER DR STE 202, VISTA, CA 92084-6162
(760) 294-1206
Mailing address
5918 WINCHESTER ST, SAN DIEGO, CA 92139-3131
(619) 813-5580

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
02/17/2019
Last updated
02/17/2019
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