Most Relevant Information
Provider Data
| NPI Number: | 1003343245 |
| Provider Name: | SAMANTHA ELIZABETH RYDER |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/18/2017 |
| Last Updated: | 05/18/2017 |
Provider Practice Location
1426 FILLMORE ST STE 204
SAN FRANCISCO
CA
941154164
Practice Location Phone/Fax
| Phone: | 4159634149 |
| Fax: |
Provider Mailing Location
1426 FILLMORE ST STE 204
SAN FRANCISCO
CA
941154164
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |