Individual
AMYLEE MICHELLE SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24887 TAYLOR ST BLDG SUITE202, LOMA LINDA, CA 92350-0225
(909) 651-4024
Mailing address
24887 TAYLOR ST BLDG SUITE202, LOMA LINDA, CA 92350-0225
(909) 558-6131
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
07/01/2025
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