Individual
LISA NICOLE SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED CPT
Contact information
Practice address
2413 BEAUFORT AVE # B, VIRGINIA BEACH, VA 23455-1309
(562) 230-5108
Mailing address
2413 BEAUFORT AVE # B, VIRGINIA BEACH, VA 23455-1309
(562) 230-5108
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CPT35358
CA
Other
Enumeration date
06/19/2020
Last updated
07/23/2020
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