Individual
CASSIE J CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 LAKE ST, ITHACA, NY 14850-2132
(607) 274-2127
Mailing address
6441 BROOK RD, TRUMANSBURG, NY 14886-9708
(434) 409-8884
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
82475601
NY
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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