Individual
GEORGINA A SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
470 CHADBOURNE RD STE A, FAIRFIELD, CA 94534-9620
(707) 419-8989
(707) 254-1779
Mailing address
1141 PEAR TREE LN, NAPA, CA 94558-6484
(707) 254-1770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA20158
CA
Other
Enumeration date
02/01/2009
Last updated
07/22/2022
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