SAMANTHA MAE HIETALATI

SAN DIEGO, CA
NPI1245617489
Former NameSAMANTHA MAE HARDER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: CA  A162427)
Additional Taxonomies208000000X Pediatrics
(Licence: CA  A162427)
Enumeration Date2015-04-27
Last Update Date2024-10-24
Business Address
SAMANTHA MAE HIETALATI MD
3010 CHILDRENS WAY
SAN DIEGO, CA 92123-4223
Phone number: 858-966-5818
Mailing Address
SAMANTHA MAE HIETALATI MD
3020 CHILDRENS WAY # MC5003
SAN DIEGO, CA 92123-4223
Phone number: 858-309-6300