Individual provider · Type 1 NPI

Malik Marquez Sampson

Student in an Organized Health Care Education/Training Program · Bruceton, TN

NPI number 1639713654 Active

Practice location

29639 Broad St
Bruceton, TN 38317-2203

Call (925) 727-3712 Map

Mailing address

9808 Venice Blvd Ste 700
Culver City, CA 90232-6824

Other practice locations

  • 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 · (310) 945-3350

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

196 other providers at this address

About NPI 1639713654

Malik Marquez Sampson's National Provider Identifier is 1639713654, issued on Nov 1, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bruceton, TN. The record was last updated on Oct 7, 2025.