Individual
CRYSTAL CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24200 CHAGRIN BLVD, BEACHWOOD, OH 44122-5550
(216) 831-6466
Mailing address
5606 HAUSERMAN RD, PARMA, OH 44130-1666
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN140770
OH
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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