Individual provider · Type 1 NPI

Samantha Queen

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1013547058 Active

Practice location

5500 Campanile Dr
San Diego, CA 92182-0001

Call (619) 594-5200 Map

Mailing address

9902 Knollview Dr
Spring Valley, CA 91977-7034

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1013547058

Samantha Queen's National Provider Identifier is 1013547058, issued on Jan 17, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Sep 29, 2026.