Individual
REBECCA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2901 4TH ST N, ST PETERSBURG, FL 33704-2103
(727) 244-2789
Mailing address
1311 22ND AVE N, ST PETERSBURG, FL 33704-3109
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA#33325
FL
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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