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Individual

MR. SAMUEL SPEIGHTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
8977 MIRA MESA BLVD, SAN DIEGO, CA 92126-2716
(844) 200-2426
Mailing address
637 3RD AVE STE E1, CHULA VISTA, CA 91910-5707

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1129191
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95030582
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
480182102
TX
Enumeration date
07/24/2023
Last updated
05/04/2026
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