Individual
KIMBERLY SAMMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
313 SOUTH FIFTH ST., ODESSA, DE 19730-4010
(302) 376-4128
Mailing address
P.O. BOX 4010, 313 SOUTH FIFTH ST., ODESSA, DE 19730-4010
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
L1-0023880
DE
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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