SearchCalifornia225700000X

Samuel Visnic, MT

NPI 1427767557 · on the registry since 2022

Practice

Address
28822 Old Town Front St Ste 306
Temecula, CA 92590
Phone
(424) 442-0663
Organisation at this address
19th Hole Golf Carts Corp.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California