Individual
STACI L SAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1133 E STANLEY BLVD, #103, LIVERMORE, CA 94550-4200
(925) 455-5050
(925) 455-5084
Mailing address
1133 E STANLEY BLVD, #103, LIVERMORE, CA 94550-4200
(925) 455-5050
(925) 455-5084
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
10106
CA
Other
Enumeration date
01/29/2007
Last updated
04/02/2013
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