Individual
MRS. SAMANTHA LEANN KHACHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5900 COYLE AVE, SUITE A, CARMICHAEL, CA 95608
(916) 332-1210
Mailing address
5900 COYLE AVE SUITE A, CARMICHAEL, CA 95608
(916) 332-1210
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/16/2008
Last updated
01/12/2015
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