Individual
JUDY CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1617 E DOUBLEGROVE ST, WEST COVINA, CA 91791-4037
(626) 919-7646
Mailing address
1617 E DOUBLEGROVE ST, WEST COVINA, CA 91791-4037
(626) 919-7646
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN194231
CA
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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