Individual
EDWIN SAMANIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
165 ROANOKE RD, EL CAJON, CA 92020-4015
(619) 588-3653
Mailing address
165 ROANOKE RD, EL CAJON, CA 92020-4015
(619) 588-3653
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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