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Individual

SAMANTHA MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7172 MAGNOLIA AVE, RIVERSIDE, CA 92504-3804
(951) 788-2224
(951) 788-5190
Mailing address
7172 MAGNOLIA AVE, RIVERSIDE, CA 92504-3804
(951) 788-2224
(951) 788-5190

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21652
CA

Other

Enumeration date
07/09/2014
Last updated
08/30/2022
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