Individual
GABRIEL ISAAC SAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 SHAFFER RD BLDG 1, SANTA CRUZ, CA 95060-5761
(831) 888-6007
Mailing address
113 CYPRESS AVE APT B, SANTA CRUZ, CA 95062-3710
(831) 529-5034
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-HXIWJU
CA
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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