Individual
TOMASA SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3108 MELANIE AVE, JACKSONVILLE, FL 32218-5055
(904) 667-2826
Mailing address
3108 MELANIE AVE, JACKSONVILLE, FL 32218-5055
(904) 667-2826
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
236638
FL
376J00000X
Homemaker
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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