Individual
ANDREA SAMAYOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11741 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3681
(562) 949-8455
Mailing address
11741 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3681
(562) 949-8455
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
225800000X
Recreation Therapist
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
07/17/2023
Last updated
04/09/2024
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