Samantha Bacon
NPI #1235014333 in Willits, California
Provider Information
- NPI Number
- 1235014333
- Entity Type
- Individual
- Name
- Samantha Bacon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Aug 7, 2025
- Last Updated
- Aug 7, 2025
Practice Location
- Address
- 258 STATE ST
- City
- Willits
- State
- California
- ZIP Code
- 95490-3120
- Phone
- (707) 354-0846
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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