Individual
MARY ANGELIQUE SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2101
(775) 688-2004
Mailing address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2101
(775) 688-2004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN59793
NV
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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