Individual
JAZELLE SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10181 COUNTRYSIDE WAY, SACRAMENTO, CA 95827-2415
(916) 204-5008
Mailing address
10181 COUNTRYSIDE WAY, SACRAMENTO, CA 95827-2415
(916) 204-5008
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/12/2019
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