Individual
JILL CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
350 N 11TH ST, SUNBURY, PA 17801-1611
(570) 286-3549
Mailing address
350 N 11TH ST, SUNBURY, PA 17801-1611
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003868
PA
Other
Enumeration date
02/12/2012
Last updated
02/12/2012
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