Individual
DAVINA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
19 DECKER ST, BUFFALO, NY 14215-3222
(716) 436-1040
(716) 436-1040
Mailing address
19 DECKER ST, BUFFALO, NY 14215-3222
(716) 436-1040
(716) 436-1040
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32503101
NY
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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