Individual
SAMUEL CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 CENTER ST, HANFORD, CA 93230-4408
(559) 415-6737
Mailing address
215 CENTER ST, HANFORD, CA 93230-4408
(559) 415-6737
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-MEHLRP
CA
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/12/2026
Last updated
06/17/2026
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