Individual
MRS. CAROLYN ANN SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1600 DOVE ST STE 327, NEWPORT BEACH, CA 92660-1426
(562) 290-2042
Mailing address
28108 CHAMBERS DR, MENIFEE, CA 92585-8149
(562) 290-2042
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
343
CA
Other
Enumeration date
05/23/2014
Last updated
02/13/2024
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