Individual
JENNIFER L SAMPSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
404 HAZEN ST, SUITE 102, PAW PAW, MI 49079-1040
(269) 657-4701
(269) 657-4553
Mailing address
404 HAZEN ST, SUITE 102, PAW PAW, MI 49079-1040
(269) 657-4701
(269) 657-4553
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
110105271923093
MI
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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