Individual
MS. BEVERLEY HYACINTH CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
108 BLACKROCK TURNPIKE, REDDING RIDGE, CT 06896
(203) 556-5319
Mailing address
PO BOX 353, REDDING RIDGE, CT 06876
(203) 556-5319
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
028092
CT
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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