Individual
JACQUE CAMPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1026 W ABRIENDO AVE, PUEBLO, CO 81004-1128
(719) 545-2746
(719) 545-4100
Mailing address
1302 CHINOOK LN, PUEBLO, CO 81001-1851
(719) 545-2746
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
124772
CO
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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