Individual
MRS. MARJORIE SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MASSAGE THE
Contact information
Practice address
379 RIDGE RD, WAVERLY, NY 14892-9718
(607) 565-3942
Mailing address
379 RIDGE RD, WAVERLY, NY 14892-9718
(607) 565-3942
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG011406
PA
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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