Individual
SAMANTHA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(619) 251-1795
Mailing address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(424) 259-9451
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95015897
CA
Other
Enumeration date
11/22/2020
Last updated
04/12/2022
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