Individual provider · Type 1 NPI

Samantha Elena Sevilla

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

NPI number 1336848357 Active

Practice location

3132 Jefferson St
San Diego, CA 92110-4421

Call (619) 683-3100 Map

Mailing address

2521 Bancroft St
San Diego, CA 92104-5123

Specialties and licenses

TaxonomyCodeLicense
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 1336848357

Samantha Elena Sevilla's National Provider Identifier is 1336848357, issued on Feb 28, 2023. 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 Feb 28, 2023.