Individual provider · Type 1 NPI
Suja Samuel
Case Management Registered Nurse · Martinez, CA
NPI number
1417329947
Active
Practice location
597 Center Avenue, Suite 200-A
Martinez, CA 94553
Mailing address
P.o.box 4738
Antioch, CA 94531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 666581 (CA) |
Case Management Registered Nurse: Definition to come...
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About NPI 1417329947
Suja Samuel's National Provider Identifier is 1417329947, issued on Oct 23, 2015. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Martinez, CA. The record was last updated on Oct 23, 2015.