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Individual

CECILE MAE SAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2932 CLOVER CT, FULLERTON, CA 92835
(714) 461-1968
Mailing address
2932 CLOVER CT, FULLERTON, CA 92835
(626) 367-1001

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT26126
CA

Other

Enumeration date
09/08/2020
Last updated
09/08/2020
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