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Individual

CATHLEEN CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
900 CANTON AVE, ANESTHESIA DEPARTMENT, BALTIMORE, MD 21229
(410) 368-3045
Mailing address
66 POWERHOUSE RD, 3RD FLOOR, ROSLYN HEIGHTS, NY 11577-1324
(516) 626-6366

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R057347
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
454ML409
TRAILBLAZER
MD
Enumeration date
07/07/2005
Last updated
07/08/2007
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