Individual
KRISTEN L CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1026 AVENIDA DE ESTRELLAS, RANCHO VIEJO, TX 78575-2701
(956) 639-4146
Mailing address
1026 AVENIDA DE ESTRELLAS, RANCHO VIEJO, TX 78575-2701
(956) 639-4146
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
36161
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36161
STATE LICENSE
TX
Enumeration date
07/06/2011
Last updated
12/31/2013
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