Individual
MRS. CHRISTINE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MVP
Contact information
Practice address
15685 SCOTTY LANE, YOUGSTOWN, FL 32466
(850) 722-9047
(850) 722-9047
Mailing address
15685 SCOTTY LN, YOUNGSTOWN, FL 32466-1702
(850) 722-9047
(850) 722-9047
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
CNA29590
FL
3747P1801X
Personal Care Attendant
Primary
CNA2950
FL
376K00000X
Nurse's Aide
CNA29590
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
688034796
MEDWAVER PROVDER NUMBER
FL
Enumeration date
11/19/2008
Last updated
11/19/2008
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