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Samantha Russell
Student in an Organized Health Care Education/Training Program in San Rafael, California
NPI 1598108805

Samantha Russell is a Student in an Organized Health Care Education/Training Program based in Woodacre, CA. Samantha Russell practices in San Rafael, CA. The NPI Number for Samantha Russell is 1598108805 and holds a License No. (California).

The current practice location address for Samantha Russell is 1330 Lincoln Ave, San Rafael, CA and can be reached out via phone at 415-459-5999.

Location: 1330 Lincoln Ave, San Rafael, CA, 94973-1080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598108805
Provider Name
Samantha Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
1330 Lincoln Ave, San Rafael, CA, 94973-1080
Phone Number
415-459-5999
Fax Number
Provider Enumeration Date
04/17/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1330 Lincoln Ave
City
San Rafael
State
California
Zip
94901
Phone Number
415-459-5999
Fax Number
person
Provider Business Mailing Address Details
Address
1330 Lincoln Ave
City
San Rafael
State
California
Zip
94901
Phone Number
415-459-5999
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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