Individual
CHRISTINE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14534 109TH AVE, JAMAICA, NY 11435-5414
(706) 580-9889
Mailing address
14534 109TH AVE, JAMAICA, NY 11435-5414
(706) 580-9889
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
475945
NY
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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