Individual
SHAULA GAIL OCAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 SUSSEX BLVD, BROOMALL, PA 19008-3836
(835) 212-9520
Mailing address
212 SUSSEX BLVD, BROOMALL, PA 19008-3836
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
642503
NY
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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