Most Relevant Information
Provider Data
| NPI Number: | 1003491440 |
| Provider Name: | GEORGE SAMANIEGO |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/17/2021 |
| Last Updated: | 03/17/2021 |
Provider Practice Location
369 BLANDING BLVD STE N23
ORANGE PARK
FL
320734394
Practice Location Phone/Fax
| Phone: | 9546936282 |
| Fax: |
Provider Mailing Location
369 BLANDING BLVD STE N23
ORANGE PARK
FL
320734394
Provider Mailing Phone/Fax
| Phone: | 9546936282 |
| Fax: |