Individual
DR. JACQUELYN DIANE SAMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6200 E CANYON RIM RD STE 105B, ANAHEIM, CA 92807-4313
(714) 900-3091
(714) 386-5147
Mailing address
6200 E CANYON RIM RD STE 105B, ANAHEIM, CA 92807-4313
(714) 900-3091
(714) 386-5147
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A9246
CA
207VG0400X
Gynecology Physician
20A9246
CA
207VG0400X
Gynecology Physician
9246
CA
Other
Enumeration date
03/01/2007
Last updated
10/18/2021
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