Individual
VICTORIA LYNN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
117 COVENTRY LN, CANTON, MS 39046-6610
(662) 212-2219
Mailing address
117 COVENTRY LN, CANTON, MS 39046-6610
(662) 212-2219
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1688
MS
133VN1004X
Pediatric Nutrition Registered Dietitian
DT82188
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
05
—
207164901
—
TX
Enumeration date
05/31/2012
Last updated
08/05/2021
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