Individual
DOREEN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9016 171ST ST, JAMAICA, NY 11432-5440
(347) 571-4802
Mailing address
9016 171ST ST, JAMAICA, NY 11432-5440
(347) 571-4802
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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