Individual
ELIA M CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
651 1/2 KING ST, MONROVIA, CA 91016-3222
(323) 202-0491
Mailing address
651 1/2 KING ST, MONROVIA, CA 91016-3222
(323) 202-0491
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
95015818
CA
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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