Individual
MS. DAVONKA YVETTE SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4704 N MARKET ST, CHAMPAIGN, IL 61822-9457
(217) 264-1505
Mailing address
4704 N MARKET ST, CHAMPAIGN, IL 61822-9457
(217) 264-1505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.350501
IL
Other
Enumeration date
06/06/2009
Last updated
06/06/2009
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