Individual
VIRGINIA BRAVO-SAMPAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(913) 544-7618
Mailing address
1207 BELINDER DR, RAYMORE, MO 64083-8372
(913) 544-7618
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
2016003575
MO
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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