Samuel Jesse Nieves, IDHS
Samuel Jesse Nieves, IDHS is an Independent Duty Corpsman in Petaluma, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
599 Tomales RdPetaluma, CA 94952-5002
Phone: (707) 765-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X (CA) |
|---|
Record details
| NPI number | 1922815547 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDHS |
| Sole proprietor | No |
| NPI enumerated | December 17, 2024 |
| Last updated in NPPES | December 17, 2024 |
| Certification date | December 17, 2024 |
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Timothy Hamilton Estes, HS
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Amber Nicole Gonzales
599 Tomales Rd, Petaluma, CA 94952-5002 · (707) 765-7200
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Mark John Orlowski II
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Reece Chandler Raykovitz, IDHS
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