Individual
MISS GWENDOLY IRINE SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
343 CAMPUS DR, PRIVATE HOME, DALLAS, TX 75217-7726
(972) 286-4327
Mailing address
343 CAMPUS DR., PRIVATE HOME, DALLAS, TX 75217-7726
(972) 286-4327
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
NA 08284758
TX
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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