Individual
MS. TAI MARIE SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
797 S FAIR OAKS AVE, PASADENA, CA 91105-2617
(626) 795-2244
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
20206
CA
Other
Enumeration date
10/29/2010
Last updated
01/19/2026
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