Individual
CRYSTAL SAMPEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2791 WISCONSIN RD, TROY, MI 48083-6127
(810) 627-3103
Mailing address
2791 WISCONSIN RD, TROY, MI 48083-6127
(810) 627-3103
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703105101
MI
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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