Individual
LAQUANITA SHANEL CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6814 STABLETON LN, HOUSTON, TX 77049-2054
(713) 548-7438
Mailing address
6814 STABLETON LN, HOUSTON, TX 77049-2054
(713) 548-7438
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
210151
TX
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/21/2008
Last updated
07/26/2012
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