Individual
KATHLEEN PEARLY SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 VISTA REAL #38, LAS CRUCES, NM 88007
(575) 680-6169
Mailing address
5300 VISTA REAL #38, LAS CRUCES, NM 88007
(575) 680-6169
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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