Individual
MS. MONIQUE ANTOINETTE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RCP
Contact information
Practice address
19406 OPAL LN, SANTA CLARITA, CA 91350-3243
(310) 213-2237
Mailing address
19406 OPAL LN, SANTA CLARITA, CA 91350-3243
(310) 213-2237
Taxonomy
Speciality
Code
Description
License number
State
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
30588
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30588
RESPIRATORY CARE PRACTITIONER LICENSE
CA
01
—
B4962549
DRIVER LICENSE
CA
Enumeration date
06/28/2018
Last updated
06/28/2018
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