Individual
CLARISSA SAMANIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
Mailing address
2010 CLEMENTINE ST, REDLANDS, CA 92374-1629
(951) 251-2639
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95059222
CA
363L00000X
Nurse Practitioner
Primary
95013621
CA
Other
Enumeration date
09/10/2019
Last updated
05/26/2023
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