Most Relevant Information
Provider Data
| NPI Number: | 1003295866 |
| Provider Name: | MARIZELA SAMANIEGO |
| Entity Type: | Individual |
| Taxonomy Code: | 2279G1100X |
| Specialty: | Respiratory Therapist, Registered |
| License Number: | 011308 |
Most Important Dates
| Enumeration Date: | 05/27/2015 |
| Last Updated: | 05/27/2015 |
Provider Practice Location
167 N. MAIN STREET
TUBA CITY
AZ
860453086
Practice Location Phone/Fax
| Phone: | 9282832501 |
| Fax: |
Provider Mailing Location
167 N. MAIN STREET
TUBA CITY
AZ
860453086
Provider Mailing Phone/Fax
| Phone: | 9282832501 |
| Fax: |