Individual
CARMANLITA SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1117 SALTMINE HWY, BREAUX BRIDGE, LA 70517
(318) 359-3955
Mailing address
251 REES ST, BREAUX BRIDGE, LA 70517-4611
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/25/2017
Last updated
05/29/2018
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