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Individual

SAMANTHA FOLKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4455 W 117TH ST STE 200, HAWTHORNE, CA 90250-2240
(814) 308-4295
Mailing address
2550 W MAIN ST STE 301, ALHAMBRA, CA 91801-7003

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
59139
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
59139
PHYSICIAN ASSISTANT BOARD
CA
Enumeration date
11/29/2020
Last updated
12/07/2023
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