Individual
STACI CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19900 S MAIN ST STE 4, CORNELIUS, NC 28031-6513
(980) 389-0964
Mailing address
19900 S MAIN ST STE 4, CORNELIUS, NC 28031-6513
(980) 389-0964
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
11/08/2022
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