SAM MAVIS

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1043738370

Practice Address

12450 VAN NUYS BLVD
Pacoima, CA 91331

Phone: (818) 896-1161

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1043738370 is the National Provider Identifier for SAM MAVIS, a Student in an Organized Health Care Education/Training Program provider located in Pacoima, CA. This NPI was enumerated on September 7, 2017.
SAM MAVIS practices at 12450 VAN NUYS BLVD, Pacoima, CA 91331.

Quick Facts

NPI
1043738370
Type
Individual
Enumerated
Sep 7, 2017
Last Updated
Jul 21, 2022

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