Fanua, Samuela

Fanua, Samuela is an individual health care provider with primary practice located at 415 E Harding Way Ste D , Stockton CA 95204-6118. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fanua, Samuela can be contacted via phone (209) 944-5750.

Contact Information

Primary practice address
415 E Harding Way Ste D Stockton CA 95204-6118
Phone: (209) 944-5750
Fax: (209) 464-2684
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1518539196
LBN Legal business name Fanua, Samuela
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2021
Last updated Aug 19th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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