Individual
ANGEL CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 287-9674
Mailing address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 287-9674
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
10/08/2025
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