Individual
DELITA SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7807 VAUGHAN RD, NORTH DINWIDDIE, VA 23805-9787
(804) 297-4482
Mailing address
2105 FERNDALE AVE, PETERSBURG, VA 23803-2737
(804) 297-4482
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
VA
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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