Most Relevant Information
Provider Data
| NPI Number: | 1003688912 |
| Provider Name: | SAMANTHA MARINA TRINIDAD |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/24/2023 |
| Last Updated: | 10/24/2023 |
Provider Practice Location
1500 S HAVEN AVE STE 190
ONTARIO
CA
917612971
Practice Location Phone/Fax
| Phone: | 9093901313 |
| Fax: |
Provider Mailing Location
1500 S HAVEN AVE STE 190
ONTARIO
CA
917612971
Provider Mailing Phone/Fax
| Phone: | 9093901313 |
| Fax: |