Individual
JEAN R CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 325-5111
Mailing address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 325-5111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP5046
CA
Other
Enumeration date
01/08/2007
Last updated
09/23/2008
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