Individual
SAMANTHA SCHNEIDER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1124 S MAIN ST, CORONA, CA 92882-4449
(951) 737-6363
Mailing address
1124 S MAIN ST, CORONA, CA 92882-4449
(951) 737-6363
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
19662
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2018
Last updated
06/07/2022
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