SAMUEL ISAIAS PENATE VASQUEZ

EUREKA, CA
NPI1992578678
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2023-11-03
Last Update Date2025-05-21
Business Address
SAMUEL ISAIAS PENATE VASQUEZ
2143 F ST
EUREKA, CA 95501-3738
Phone number: 707-467-2010
Mailing Address
SAMUEL ISAIAS PENATE VASQUEZ
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-467-2010
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