Individual
SAMANTHA HAGERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 453-1008
Mailing address
404 E SWALLOW CT, FRESNO, CA 93730-1257
(559) 770-7893
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95226761
CA
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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