Individual
SAMANTHA SHELBY DWOSKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
1975 4TH ST, SAN FRANCISCO, CA 94143-2351
(415) 353-1616
Mailing address
1975 4TH ST, SAN FRANCISCO, CA 94143-2351
(415) 353-1616
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
383275
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
95024545
CA
Other
Enumeration date
08/13/2021
Last updated
09/25/2024
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