Individual
MRS. REAVONNE S CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
888 W LONG LAKE RD, STE 225, TROY, MI 48098-2827
(800) 443-2603
(800) 443-0403
Mailing address
888 W LONG LAKE RD, STE 225, TROY, MI 48098-2827
(800) 443-2603
(800) 443-0403
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703123184
MI
3747P1801X
Personal Care Attendant
—
MI
374U00000X
Home Health Aide
—
—
Other
Enumeration date
12/22/2020
Last updated
09/30/2025
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