Individual
MRS. TAWANA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11207 BLUFFS VW, SPOTSYLVANIA, VA 22551-8935
(540) 729-1558
Mailing address
11207 BLUFFS VW, SPOTSYLVANIA, VA 22551-8935
(540) 729-1558
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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