| Doctor Name: | RACQUEL DELA CRUZ DIZON-SAMSON |
| NPI Number: | 1154424190 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 625156 |
| Business Practice Address: | 229 Bridgewater Circle Suisun City, CA - 94585 |
| Business Phone Number: | 7074271939 |
| Business Fax Number: | 7074271939 |
| Mailing Address: | 229 Bridgewater Circle, SUISUN CITY |
| State: | CA |
| Postal Code: | 94585 |
| Phone Number: | 7074271939 |
| Fax Number: | 7074271939 |
| NPI Enumeration Date: | 09/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0200X |
| License Number: | 625156 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |