Individual
GABRIELLA SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5345 HIGHWAY 18 W, JACKSON, MS 39209-9421
(601) 927-0188
Mailing address
368 WHITE CHAPEL RD, CARRIERE, MS 39426-9298
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MS
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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