SAMUEL LOGAN

UKIAH, CA
NPI1699059659
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-10-07
Last Update Date2011-10-07
Business Address
SAMUEL LOGAN
350 E GOBBI ST
UKIAH, CA 95482-5511
Phone number: 707-472-2922
Mailing Address
SAMUEL LOGAN
6431 BLACK BART TRL
REDWOOD VALLEY, CA 95470-6248
Phone number: 707-467-9192
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