Organization
CANDICE S CAMPBELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE CAMPBELL (BIRTH DOULA)
(260) 413-5696
Entity
Organization
Contact information
Practice address
7605 REGINA DR, FORT WAYNE, IN 46815-8248
(260) 413-5696
Mailing address
7605 REGINA DR, FORT WAYNE, IN 46815-8248
(260) 413-5696
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
374J00000X
PRIVATE INSURANCE
IN
Enumeration date
03/09/2014
Last updated
03/09/2014
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