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Individual

MRS. MILTIA ALEXA MARIE CAMPBELL III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1505 JOHN BEVY CT, N LAS VEGAS, NV 89086-1382
(330) 389-1250
Mailing address
1505 JOHN BEVY CT, N LAS VEGAS, NV 89086-1382
(330) 389-1250

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
374U00000X
Home Health Aide
6701877
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396950374
NV
05
2657478
OH
Enumeration date
03/22/2007
Last updated
09/02/2015
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