Individual
MR. JEFFERY SIMMONS SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
11201 BENTON ST, VAMC/122, LOMA LINDA, CA 92357-1000
(909) 825-7084
(909) 777-3837
Mailing address
11201 BENTON ST, VAMC/122, LOMA LINDA, CA 92357-1000
(909) 825-7084
(909) 777-3837
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW 13978
CA
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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