Individual
MS. JEANNIE RAY SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-BC
Contact information
Practice address
8787 HALL RD, LAMONT, CA 93241-1953
(661) 845-3731
(661) 845-1157
Mailing address
PO BOX 1559, BAKERSFIELD, CA 93302-1559
(661) 635-3050
(661) 326-1347
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95003356
CA
Other
Enumeration date
04/23/2012
Last updated
11/04/2015
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