Individual
SAMUEL MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
29826 HAUN RD STE 203, MENIFEE, CA 92586-6547
(951) 679-3131
(951) 679-3133
Mailing address
1545 W FLORIDA AVE, HEMET, CA 92543-3814
(951) 791-1111
(888) 856-3893
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95032837
CA
Other
Enumeration date
11/01/2024
Last updated
04/15/2026
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