Individual
DIANE L CAMPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4604 CRYSTAL LAKE DR, GREENSBORO, NC 27410-9350
(336) 337-3062
Mailing address
4604 CRYSTAL LAKE DR, GREENSBORO, NC 27410-9350
(336) 337-3062
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
107883
NC
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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