Individual
JESSICA ANN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
570 PRICE AVE STE 100, REDWOOD CITY, CA 94063-1433
(650) 701-1882
Mailing address
651 OAK AVE, REDWOOD CITY, CA 94061-2218
(650) 454-9878
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234567
N/A
CA
Enumeration date
01/05/2023
Last updated
01/05/2023
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