ADIN SAMUEL VAEWSORN

OAKLAND, CA
NPI1932719192
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95018370)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CA  95204521)
Enumeration Date2020-08-03
Last Update Date2022-05-23
Business Address
ADIN SAMUEL VAEWSORN RN, PMHNP
1501 FRUITVALE AVE
OAKLAND, CA 94601-2322
Phone number: 510-635-5200
Mailing Address
ADIN SAMUEL VAEWSORN RN, PMHNP
1501 FRUITVALE AVE
OAKLAND, CA 94601-2322
Phone number: 510-635-5200