Individual
LYSETTE BAUI CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR, 9040 JACKSON AVE, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
(253) 968-1110
Mailing address
2218 RETTA DR, CORPUS CHRISTI, TX 78418-5409
(808) 772-1378
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
849674
TX
163W00000X
Registered Nurse
Primary
RN-73516
HI
163W00000X
Registered Nurse
RN60411654
WA
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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