REVAI NICOLE SAMUEL

IRVINE, CA
NPI1295308831
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  62641)
Additional Taxonomies363A00000X Physician Assistant
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-07-21
Last Update Date2024-08-16
Business Address
REVAI NICOLE SAMUEL
14443 CULVER DR # 14443-A
IRVINE, CA 92604-0343
Phone number: 949-767-8173
Mailing Address
REVAI NICOLE SAMUEL
2920 TELEGRAPH AVE STE 100
BERKELEY, CA 94705-2031
Phone number: