Individual
STEFANIE SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
632 BLUE HILL AVE, DORCHESTER, MA 02121-3213
(617) 825-3400
Mailing address
84 HERROD AVE, BROCKTON, MA 02301-2335
(508) 577-3217
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2344859
MA
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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