Individual
SAMANTHA MACKENZIE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1865 HOTEL CIR S, SAN DIEGO, CA 92108-3319
(619) 673-8116
Mailing address
1865 HOTEL CIR S, SAN DIEGO, CA 92108-3319
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-PDIFVM
CA
Other
Enumeration date
11/04/2024
Last updated
04/02/2025
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