Individual
SAMAA BAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
436 S MAGNOLIA AVE # 101&201, EL CAJON, CA 92020-5237
(619) 662-4100
Mailing address
1601 PRECISION PARK LN, SAN DIEGO, CA 92173-1345
(619) 662-4100
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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