Individual
MRS. ANNIQUE E SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
133 MAIN ST, PUTNEY, VT 05346-9226
(802) 881-5015
Mailing address
314 PUTNEY MOUNTAIN RD, PUTNEY, VT 05346-8858
(802) 881-5015
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
107.0082438
VT
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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