Individual
JILLIAN SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73 GRAYFIELD STREET, WORTHINGTON, WV 26591
(681) 443-0249
Mailing address
PO BOX 332, WORTHINGTON, WV 26591-0332
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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