Sam Mavis is a student in an organized health care education training program in Pacoima, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Sam Mavis NPI is 1043738370. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
12450 VAN NUYS BLVD
PACOIMA, CA
ZIP 91331-391
Phone: (818) 896-1161
Fax: (818) 896-5069
The enumeration date for this NPI number is 9/7/2017 and was last updated on 7/21/2022.