SAMUELA FANUA

STOCKTON, CA
NPI1518539196
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-07-13
Last Update Date2022-08-19
Business Address
SAMUELA FANUA PA
415 E HARDING WAY STE D
STOCKTON, CA 95204-6118
Phone number: 209-944-5750
Mailing Address
SAMUELA FANUA PA
2968 YORKTOWN CT
MARINA, CA 93933-4938
Phone number:
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