Individual
CAROLINE LISBETH CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8603 COMPASS CT, LAUREL, MD 20708-3501
(281) 682-5069
Mailing address
8603 COMPASS CT, LAUREL, MD 20708-3501
(281) 682-5069
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41902889200
—
MD
Enumeration date
10/06/2021
Last updated
10/06/2021
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