Individual
MS. VIOLET CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
69 MYANO LN, STAMFORD, CT 06902-4503
(203) 550-0099
Mailing address
69 MYANO LN, STAMFORD, CT 06902-4503
(203) 550-0099
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1170245
NY
Other
Enumeration date
06/09/2014
Last updated
08/06/2014
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