Individual
TEASHA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 BIRCH AVE E, FARMINGDALE, NY 11735-3818
(347) 530-6633
Mailing address
63 BIRCH AVE E, FARMINGDALE, NY 11735-3818
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
747108
NY
163WI0500X
Infusion Therapy Registered Nurse
Primary
747108
NY
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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