Individual
DEANNA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6102 GALLEGOS DR, WEST LAFAYETTE, IN 47906-5793
(765) 543-4732
Mailing address
6102 GALLEGOS DR, WEST LAFAYETTE, IN 47906-5793
(765) 543-4732
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
800007
IN
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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