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Search › California › Independent Duty Corpsman

Samuel Nieves, IDHS

NPI 1922815547 · on the registry since 2024

Practice

Address
599 Tomales Rd
Petaluma, CA 94952
Phone
(707) 765-7200
Organisation at this address
Columbia-Arora
Petaluma Tracen Uscg Phcy
Us Coast Guard Finance Center
Coast Guard Training Center Petaluma
Inferred from a shared address, not stated in the registry.
Clinicians at this address
69

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-12-17

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