Individual
MS. SAMANTHA MARIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CSCS, LMT
Contact information
Practice address
810 KOKOMO RD, SUITE 159, HAIKU, HI 96708-5075
(808) 214-8224
Mailing address
PO BOX 81536, HAIKU, HI 96708-1536
(808) 214-8224
(808) 442-1140
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT-187
HI
174400000X
Specialist
MAT-12265
HI
Other
Enumeration date
05/01/2007
Last updated
05/17/2015
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