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Individual

ANTHONY RAY CAMPOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10625 LEFFINGWELL RD, NORWALK, CA 90650-3434
(562) 864-2541
Mailing address
258 REDONDO AVE, LONG BEACH, CA 90803-5950
(562) 445-9838

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
38313
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38313
STATE OF CALIFORNIA DEPARTMENT OF CONSUMER AFFAIRS
CA
Enumeration date
12/13/2022
Last updated
12/13/2022
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