Individual
DEIDRE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
541 S 9TH AVE, MOUNT VERNON, NY 10550-4318
(914) 562-8192
Mailing address
541 S 9TH AVE, MOUNT VERNON, NY 10550-4318
(914) 562-8192
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
624562
NY
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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