Individual
MS. ANNETTE SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHN
Contact information
Practice address
1000 SAN LEANDRO BLVD, SAN LEANDRO, CA 94577-1598
(510) 618-3389
Mailing address
PO BOX 21506, EL SOBRANTE, CA 94820-1506
(510) 758-1691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
350793
CA
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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