Individual
JESSICA LYNN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
10589 FOXTAIL DR, BREESE, IL 62230-4321
(618) 570-0379
Mailing address
10589 FOXTAIL DR, BREESE, IL 62230-4321
(161) 857-0037
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000728
IL
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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