Individual
TELINA GAYLE SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 SENIOR CIRCLE, ELIZABETH, WV 26143-2614
(304) 275-3158
(304) 275-4631
Mailing address
PO BOX 370, ELIZABETH, WV 26143-0370
(304) 275-3158
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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