MARK SHAWN SAMUEL

LOS ANGELES, CA
NPI1184402083
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WA  AP61477587)
Enumeration Date2023-09-20
Last Update Date2023-09-20
Business Address
MARK SHAWN SAMUEL
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 661-992-6212
Mailing Address
MARK SHAWN SAMUEL
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: