Individual
SAMANTHA CHRISTINE AYOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24785 STEWART ST STE 204, LOMA LINDA, CA 92350-1721
(847) 989-1195
Mailing address
24785 STEWART ST STE 204, LOMA LINDA, CA 92350-1721
(847) 989-1195
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
A183372
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2019
Last updated
10/15/2024
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