Individual provider · Type 1 NPI

Samantha Mong

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

NPI number 1881166445 Active

Practice location

425 Divisadero St Ste 301
San Francisco, CA 94117-2242

Call (415) 551-0975 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone 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 1881166445

Samantha Mong's National Provider Identifier is 1881166445, issued on Dec 20, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Francisco, CA. The record was last updated on Nov 2, 2021.