| NPI | 1639708191 |
|---|---|
| Former Name | SAMANTHA NICOLE BALONA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 684587) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |