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Samantha Elizabeth Perry

Student in an Organized Health Care Education/Training Program in Pomona, CA. Individual provider (NPI-1).

NPI number1023948130
StatusActive
Last updated in NPPESMay 20, 2026

Details

NPI
1023948130
Entity type
Individual (NPI-1)
Name
Samantha Elizabeth Perry
Sex
Female
Sole proprietor
No
Enumeration date
May 20, 2026
Certification date
May 20, 2026
Last updated
May 20, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

309 E 2nd St
Pomona, CA 91766-1854

Phone 909-469-5589

Mailing address

309 E 2nd St
Pomona, CA 91766-1854

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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