Individual
J. A. SAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1965 LIVE OAK BLVD, YUBA CITY, CA 95991-8828
(530) 822-7209
Mailing address
224 NEEDLE CT, ROSEVILLE, CA 95678-6953
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
483982
CA
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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