Wilde, Samantha Carol

Wilde, Samantha Carol is an sole proprietor health care provider with primary practice located at 301 W 2Nd St Apt 413 , Santa Ana CA 92701-8203. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Wilde, Samantha Carol can be contacted via phone (562) 666-5598.

Contact Information

Primary practice address
301 W 2Nd St Apt 413 Santa Ana CA 92701-8203
Phone: (562) 666-5598
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 96283 California

Profile Details

NPI number 1659116101
LBN Legal business name Wilde, Samantha Carol
Credentials CMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2024
Last updated Jun 26th, 2024 - about last year

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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