Individual
ABHEENA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11321 207TH ST, QUEENS VILLAGE, NY 11429-2203
(347) 635-2403
Mailing address
11321 207TH ST, QUEENS VILLAGE, NY 11429-2203
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321441-1
NY
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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