Individual
NICHOLE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NDTR
Contact information
Practice address
2009 MACKENZIE WAY STE 100, CRANBERRY TOWNSHIP, PA 16066-5338
(412) 501-3069
Mailing address
3023 FALCON DR, VALENCIA, PA 16059-1340
(412) 310-6882
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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