MiscSubjects

SAMUEL JESSE NIEVES IDHS

SJ
SAMUEL JESSE NIEVES IDHS

Clinician

npi
1922815547
status
A
address
599 TOMALES RD, PETALUMA, CA, 949525002
taxonomy
Military Health Care Provider, Independent Duty Corpsman
last updated
2024-12-17
license state
CA
taxonomy code
1710I1002X
sole proprietor
NO
enumeration date
2024-12-17
enumeration type
NPI-1
practice locations
0
npiregistry.cms.hhs.gov ↗

Recorded 2026-10-10

Connected objects

Military Health Care Provider, Independent Duty Corpsman · has profession

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