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Individual

MS. YVETTE SAMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3113 W DAKOTA ST, PHILADELPHIA, PA 19132-3313
(856) 336-9920
Mailing address
3113 W DAKOTA ST, PHILADELPHIA, PA 19132-3313
(856) 336-9920

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
200031813
NJ
376K00000X
Nurse's Aide
200031813
376K00000X
Nurse's Aide
Primary
NA200031813
NJ

Other

Enumeration date
12/09/2019
Last updated
12/09/2019
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