Individual
MRS. DONNA LEE CAMPLESE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2113 E 43RD ST, ASHTABULA, OH 44004-6059
(440) 997-0035
Mailing address
2113 E 43RD ST, ASHTABULA, OH 44004-6059
(440) 997-0035
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063966
—
OH
Enumeration date
03/20/2014
Last updated
03/20/2014
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