Individual
ILISA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5822 TRAILSIDE CT, MASON, OH 45040-7047
(513) 608-0139
Mailing address
5822 TRAILSIDE CT, MASON, OH 45040-7047
(513) 608-0139
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
173789
OH
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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