Individual
MR. ALFRED SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16481 WATERWAY CIR APT B, HUNTINGTON BEACH, CA 92649-3256
(714) 209-9009
Mailing address
16481 WATERWAY CIR APT B, HUNTINGTON BEACH, CA 92649-3256
(714) 209-9009
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
8662
CA
156F00000X
Technician/Technologist
—
CA
Other
Enumeration date
03/20/2021
Last updated
03/20/2021
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